眼科研究 2000年第3期第18卷 临床研究
作者：孙康 郑阿宁 陆强 徐锦堂
单位：孙康（博士研究生，现在广东省佛山市第二人民医院眼科）；郑阿宁 徐锦堂（510630 广州，暨南大学医学院第一附属医院眼科）；陆强（广东佛山市第二人民医院眼科）
关键词：白内障；儿童；接触镜；眼内
摘要 目的 了解少年儿童白内障摘出联合人工晶状体植入术后视功能重建情况。方法 对21例23眼少年儿童白内障施行现代显微囊外摘出联合人工晶状体(IOL）植入术，术后随访6月～4.3年(平均2.6年)，观察术眼视力恢复情况及手术并发症，并了解其角膜内皮细胞的变化。结果 检查合作的20眼IOL植入者术后视力平均为0.38(0.01～1.0)，≥1.0者2眼(10%)；≥0.3者12眼(60%)；≥0.05者18眼(90%)；术后视力无明显改善(＜0.05)者2眼(10%)。术眼角膜内皮细胞均较术前减少，丢失率为4.84%±1.52%。结论 人工晶状体植入术是矫正少年儿童无晶状体眼屈光不正的有效方法。
分类号 R776
A primary report of intraocular lens implantation in pediatric patients
Sun Kang，Zheng A’ning，Lu Qiang
（Department of Ophthalmology，Medical Colloge of Jinan University，Guangzhou 510630）
Abstract Objective To evaluate the effect of visual rehabilitation after extracapsular cataract extraction（ECCE）and intraocular lens（IOL）implantation in pediatric patients．Methods ECCE and IOL implantation were performed in twenty-three eyes of 21 patients with cataract，who were under 18 years old．The average period of follow-up was 2．6 years（range 6 months to 4．3 years）．Visual acuity and corneal endothelial cells in the operated eyes were measured before and after surgery．Complications were also investigated during and after the operation．Results The average visual acuity was 0.38(range 0.01～1.0)without glasses，which was much better than the presurgical one．The vision of two eyes（10％）were improved to ≥1.0．Twelve eyes（60％）got out of the disablement with the vision ≥0.3，and eighteen eyes(90%) got out of the blind with the vision ≥0.05．The rate of endothelial cell loss was 4.84%±1.52%．Conclusion Implantation of posterior chamber IOLs in pediatric patients with aphakia appears to be effective and safe．Congenital cataract extraction and IOL implantation must be performed as early as possible whether binocular or uniocular one，which induce the visual acuity worse．IOL implantation is the first choice to correct the refractive errors for the aphakia after traumatic cataract extraction．Complicated cataract extraction and IOL implantation correlated with pretreatment condition．The prognosis is dependent on the pathological process before and after the operation．
Key words cataract children intraocular lens
人工晶状体（intraocular lens，IOL）植入术是当今矫正白内障摘出术后无晶状体眼屈光不正的首选方法，与仍在应用的框架眼镜和角膜接触镜相比，植入后房型IOL能获得接近人眼原有晶状体的解剖位置和生理效果，可得到良好的双眼单视功能及立体视觉，这对于眼球和视功能处于发育时期的少年儿童来说尤为重要。近年来，随着相关科学的不断发展，IOL植入术水平亦得到迅速提高，其适应证也逐渐增宽，对于少年儿童白内障摘出后亦不例外，我们对21例23眼少年儿童白内障进行了现代囊外摘出联合IOL植入术，现将随访6月～4.3年(平均2.6年)的结果报告如下。
[1] [2] [3] 下一页 |
