小切口儿童白内障摘除人工晶体植入术临床分析

目的：探讨儿童白内障手术,特别是外伤性白内障手术的方式,术中并发症的处理及术后视力等。方法：对所有研究对象82例(108只眼)先天性、外伤性、后发性白内障患儿,年龄为2～14岁采用巩膜隧道切口白内障摘除术联合IOL植入术,对术后视力、术中和术后并发症及处理进行分析。结果：术后视力比术前提高者94只眼,术中主要并发症为后囊破裂和玻璃体脱出。术后主要并发症有后囊混浊(PCO)、前房炎症反应等。结论：2岁以上儿童采用巩膜隧道切口白内障摘除术联合IOL植入是处理儿童白内障的有效手段。儿童白内障术后并发症与成人相比有其特殊性。适时恰当的处理,仍然可以获得良好的效果。

Clinical analysis of cataract extraction and intraocular lens implantation through sclera tunnel incision for pediatric patients

Objective:To evaluate pediatric cataract operative cases,especially traumatic cataract patients,through operative skill,intraoperative complications and their managements,postoperative vision and complications.Methods:108 eyes of 82 pediatric patients,who were diagnosed as developmental,congenital,traumatic,and after-cataract with age ranged from 2 to 14 years old,were performed cataract extraction combining with intraocular lens implantation.Analysis were carried out based on postoperative vision,intra-postoperative complications and managements.Results:102 eyes got better vision postoperatively than before.Main intraoperative complications were posterior capsular rupture and prolapse of vitreous,and main postoperative complications were posterior capsular opacity(PCO),inflammatory reaction of anterior chamber,etc.Conclusion:Cataract extraction combining with intraocular lens implantation through sclera tunnel incision is an effective method for the pediatric patients whose age was over 2 years old.There exists special postoperative complications in pediatric patients and appropriate managements at the right moment ensure satisfactory effects.