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1、儿童先天性白内障治疗及随访作者：曾广川，廖武，叶计芬，李瑜明，杨军【摘要】目的评价儿童先天性白内障超声乳化吸除、人工晶体(intraocularlens,I0L)植入、后囊撕开联合前段玻璃体切割术的临床效果，以及术后弱视治疗的重要性。方法对儿童先天性白内障患者58例72眼，均采用超声乳化吸除并植入后房型人工晶体后，后囊膜连续环形撕囊或囊膜切开，联合前段玻璃体切除。术后随访观察视力、眼压、屈光状态、后囊浑浊及双眼视功能。结果术后矫正视力20.5的有18眼(25%),视力在0.1〜0.4的有29眼(40.3%),视力<；0.1的有10眼(13.9%),欠合作的有15眼(20.8
2、%)o经过弱视治疗1年以上，视力有提高的有28眼(38.9%),有融合功能患儿22例(37.9%)。葡萄膜炎反应和视轴区混浊为术后主要并发症。结论儿童先天性白内障超声乳化吸除、囊袋内人工晶体植入、后囊膜环形撕囊并行前段玻璃体切割术可有效预防后发性白内障的发生，术中术后并发症少，效果确切。术后及时的弱视治疗与白内障手术治疗同样重要。【关键词】白内障;儿童；人工晶体;手术;弱视治疗[Abstract]ObjectiveToassesstheclinicaleffectsofphacoemulsification,implantationoftheposteriorchamberin
3、traocularlens,posteriorlenscapsulesectionandanteriorsegmentvitrectomyinpediatriccataractandtoassessthesignificanceoftheamblyopiatherapyafteroperation.MethodsParticipantswere58cases(72eyes)withpediatriecataract・Phacoemulsification,implantationoftheposteriorchamberintraocularlens,posteriorlens
4、capsulesectionorcontinuouscurvilinearcapsulorhexisandanteriorsegmentvitrectomywereperformed.Mainoutcomemeasurespreoperativeandpostoperativevisualacuity,intraocularpressure,refractivestatus,posteriorcapsularopacificationandbinocularvision.ResultsThepostoperativecorrectedvision：exceed0.5in18ey
5、es(25%),from0.1to0.4in29eyes(40.3%),lessthan0.1in10eyes(13・9%),uncooperativein15eyes(20.8%)・Afteroneyearamblyopiatherapy,visionimprovementwasin28eyes(38.9%),fusionfunctionoccurredin22patients(37.9%).Themajorcomplicationsofoperationwereuveitisandopticaxisopaque.ConclusionPhacoemu1sification,i
6、mplantationoftheposteriorchamberintraocularlens,posteriorlenscapsulesectionorcontinuouscurvilinearcapsulorhexisandanteriorsegmentvitrectomyaresafeandeffectiveinthetreatmentofpediatriccataract,especiallyinthepreventionofposteriorcapsularopacification.Theamblyopiatherapiesafteroperationarealso
7、importantcontrastedtooperation.[Keywords]cataract；child；intraocularlens；operation；amblyopiatherapy先天性白内障是儿童常见的致盲疾病之一，而儿童白内障术后的后发性白内障（posteriorcapsularopacification,PCO）是导致儿童低视力的主要原因。儿童先天性白内障治疗的目的是恢复视力，避免弱视的发生以及促进双眼单视和融合功能的发育。随着显微手术的开展和人工晶体的广泛应用，以及术
