【摘要】  　　目的：观察儿童白内障摘除人工晶状体植入术疗效，以及并发症的处理。方法：对21例（29眼）3.9～13.2岁的儿童先天性和外伤性白内障行I期折叠式人工晶状体植入术，并行后囊膜环形撕囊。 结果：术后矫正视力达0.8以上者5眼，0.5～0.7者18眼，0.1～0.3者4眼，0.1以下者2眼。术后所有病例瞳孔区未发生后发性白内障。结论：儿童白内障摘除及I期人工晶状体植入手术是安全有效的，但要处理好并发症。

    【关键词】  儿童　白内障　人工晶状体植入　后囊膜环形撕囊

　　Foldaway lens implantation during stage I of pediatric cataract

    Hong Zhang

    Department of Ophthalmology, the First People's Hospital of Honghe, Mengbai 661100, Yunnan Province, China

    Abstract AIM: To observe the curative effect of pediatric cataract lens imolantation and to explore the prevented methods for the complication. METHODS: A total of 21 cases (29 eyes, 3.9-13.2 years) with pediatric geneogenous or traumatic cataract were undergone the foldaway lens implantation during stage I. After surgery, posterior membrane annular capsulorhexis was done. RESULTS: Corrected vision after operation was increased to 0.8 in 5 eyes, 0.5-0.7 in 18 eyes, 0.1-0.3 in 4 eyes and 2 eyes were below 0.1. No eyes occurred the acquired cataract at papillary zones after operation.CONCLUSION: Foldaway lens implantation during stage I of pediatric cataract is a safe and effective method, but the complication must be handled very well.

    · KEYWORDS：pediatric; cataract; lens implantation; posterior membrane annular capsulorhexis

　　0引言

    儿童白内障是儿童致盲眼病之一，在我国发病率较高[1]。随着显微手术技术的提高和人工晶状体类型和材质的不断改进完善，尤其是折叠人工晶状体的应用，使儿童人工晶状体植入术成为一种安全可行的手术，其目的是保存视力，预防弱视，促进双眼单视和融合功能的发育。我院自1999-07/2005-03对21例（29眼）儿童白内障行I期人工晶状体植入术，取得满意疗效，现报告如下。

[1] [2] [3] 下一页