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儿童人工晶体二期植入术
引用本文:刘奕志,李绍珍.儿童人工晶体二期植入术[J].中华眼科杂志,1996,32(3):197-199.
作者姓名:刘奕志  李绍珍
作者单位:中山医科大学中山眼科中心
摘    要:目的确定后房型人工晶体二期植入术矫正儿童无晶体眼的视力预后及手术适应证。方法对34只儿童术后无晶体眼,在分离虹膜与后囊膜的粘连,形成足够的人工晶体植入放置空间后,根据后囊膜的完整与否,采用不同的技术二期植入后房型人工晶体。结果术后随访6~24个月,29只眼(85.29%)术后矫正视力等于或高于术前最佳矫正视力,16只眼(47.06%)未矫正视力≥0.5,28只眼(82.35%)矫正视力≥0.5。结论对于尚存完整或部分后囊膜的儿童无晶体眼,后房型人工晶体二期植入术是安全、有效的矫正方法。

关 键 词:儿童  晶体.人工

Secondaryintraocularlensimplantationinchildren
LiuYizhi,LiShaozhen.ZhongshanOphthalmicCen-ter,SunYat-senUmiversityofMedicalSciences,Guangzhou.Secondaryintraocularlensimplantationinchildren[J].Chinese Journal of Ophthalmology,1996,32(3):197-199.
Authors:LiuYizhi  LiShaozhenZhongshanOphthalmicCen-ter  SunYat-senUmiversityofMedicalSciences  Guangzhou
Institution:LiuYizhi,LiShaozhen.ZhongshanOphthalmicCen-ter,SunYat-senUmiversityofMedicalSciences,Guangzhou510060
Abstract:ObjectiveThestudywasdesignedtodeterminethevisualoutcomeandindicationofsec-ondaryposteriorchamberintraocularlens(IOL)implantation.MethodsTheoperationwasper-formedon34eyeswithaphakiainchildrenafterseparationofposterioririssynechiafromposteriorcap-suleandformationofaposteriorchamberspacelargeenoughtoinsertanintraocularlens.Basedonwhetherthein-tegrityoftheposteriorcapsulewascompleteornot,varioustechniquesofsecondaryIOLimplantationwereadopted.ResultsThefolow-upperiodsrangedfrom6to24months.Theresultsshowedthat29oftheeyes(85.29%)achievedapost-operativecorectedvisualacuityequaltoorbeterthanthatofthebestcorrectedvisualacuitybeforethesurgery;thepostoperativeuncorectedvisualacuitiesin16eyes(47.06%)andcor-rectedvisualacuitiesin28eyes(82.35%)reached0.5orbeter.ConclusionSecondaryposteriorchamberIOLimplantationisasafeandefectivemethodinchildrenwithaphakiawhohaveacompleteorpartialpos-teriorcapsule.
Keywords:ChildrenLenses  intraocular  
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