儿童外伤性白内障摘出人工晶状体植入并发症

目的　探讨儿童外伤性白内障摘出人工晶状体植入术的并发症及其治疗。方法　对62例(62眼)儿童外伤性白内障行白内障摘出人工晶状体植入术,对术中、术后并发症及处理方法进行分析。结果　术后视力比术前提高者5 7眼,随访42眼,视力提高者3 5眼,术中主要并发症为前房积血,后囊破裂及玻璃体溢出。术后主要并发症为前葡萄膜炎、后囊浑浊、人工晶状体偏移及其表面色素颗粒沉积等。结论　外伤性白内障摘出人工晶状体植入术是治疗儿童外伤性白内障的有效方法,其并发症比成人严重。但如处理适当仍然可以达到较好效果。

Surgical complication of traumatic cataract extraction and posterior chamber intraocular lens implantation in children

Objective To investigate the complication and treatment of traumatic cataract extraction and posterior chamber intraocular lens implantation in children. Methods Traumatic cataract extraction and posterior chamber intraocular lens implantation were performed in 62 cases (62eyes) in children, analyzing the surgical complication of traumatic cataract extraction and posterior chamber intraocular lens implantation in children. Results After operation, the visual acuity improved in 57 eyes ,42eyes were followed up 6-24 months ,the visual acuity improved in 35 eyes,the surgical complication were hyphema, posterior capsular rupture , posterior capsular opacity, uvetis and luxation of IOL. Conclusion It is efficient to perform traumatic cataract extraction and posterior chamber intraocular lens implantation in children, the complication in children is more than that of adults. But if the measurement is correct the results is satisfactory.