先天性白内障术后视网膜脱离的手术治疗

目的 探讨先天性白内障术后视网膜脱离的特点及手术方法。 方法 对42例先天性白内障患者44只白内障术后孔源性视网膜脱离眼的临床资料进行回顾分析，比较不同的视网膜脱离手术方法治疗后的效果。先天性白内障术后发生视网膜脱离平均间隔时间为14.8年。绝大多数白内障手术为吸出术并有后囊膜切开史 ；多数瞳孔不能散大并有后发性白内障形成。16只眼曾测眼轴，平均轴长(26.80±1.90) mm。视网膜脱离手术前裂孔发现率仅43.2%。 结果 巩膜手术成功率80.3%，玻璃体手术成功率85.7%。 结论 先天性白内障术后发生视网膜脱离间隔时间长；因瞳孔因素，周边眼底检查困难，巩膜手术成功率低，玻璃体手术是较理想的手术方式。 （中华眼底病杂志，2000，16：71-138）

Surgical treatment of retinal detachment after congenital cataract operation

PurposeTo explore the characteristics of eyes after congenital cataract surgery and to evaluate the methods of different retinal detachment surgery in those eyes．MethodWe retrospeetively reviewed the cli ncal data of 44 eyes with rhegmatogenous retinal detachment　(RRD) after congenital cataract surgery,and compared the surgical results between scleral buckling and vitrectomy in those eyes．The mean interval between the congenital cataract surgery and RRD of the affectde eyes was 14．8 years and most of the techniques of cataract surgery was irrigation-aspiration and capsulotomy was performed in nearly all eyes． The mean axis length in 16 eyes was （26.8±1.90） mm．ResultsThe success rate was 80．3% in scleral buckling and 85．7% in vitrectomy．ConclusionThere is a long interval between congenital cataract surgery and RD．The pupil of these eyes is often small and immobile,causing diffculty in visualizing the peripheral retina ,decreasing the success rate of scleral buckling operation．Vitrectomy is an ideal chocie for such eyes．(Chin J Ocul Fundus Dis，2000，16：71-138)