摘要
目的:分析白内障超声乳化吸除加人工晶状体植入联合玻璃体切除术对儿童先天性白内障的疗效,探讨其有效性和安全性。方法:选择本院收治的43例(49眼)3~7岁先天性白内障患儿作为研究对象,按照治疗方法不同将研究对象分为对照组23例(26眼)和治疗组20例(23眼)。对照组患儿行白内障超声乳化吸除联合人工晶状体植入,治疗组患者施行白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除术。观察2组患儿术后视力,采用非接触式眼压计和超声生物显微镜比较2组患儿术后眼压(IOP)、前房深度、后囊浑浊程度及术中、术后并发症发生情况。结果:2组患儿术后平均随访12个月,术后随访49眼;与对照组比较,治疗组患儿视力明显提高,术后矫正视力≥0.5者构成比明显增加(P<0.05),前房深度明显升高(P<0.05),后囊混浊程度明显减轻(P<0.05)。2组患儿IOP及角膜内皮水肿(CE)、前房闪辉(ACF)和前房纤维素样渗出(ACCE)等并发症发生率比较差异无统计学意义(P>0.05)。结论:儿童先天性白内障术中行白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除术,能够有效改善患儿视力、前房深度和后囊混浊程度,更有助于患儿术后视功能重建。
Objective : To analyze the curative effect of phacoemulsification and to intraocular lens implantation combined with anterior vitrectomy in the children with congenital cataract, and to investigate its effectiveness and security. Methods : A total of 43 cases(49 eyes) of 3-7 years old congenital cataract children who were admitted to our hospital were selected as the subjects. According to different treatment methods, the children were divided into control group (23 cases with 26 eyes) and treatment group (20 cases with 23 eyes). The children in control group were treated with phacoemulsification and intraocular lens implantation and the children in treatment group were treated with phacoemulsification, intraocular lens implantation and anterior vitrectomy. After operation, the vision of the children in two groups was observed;the intraocular pressure(IOP), anterior chamber depth, posterior capsule turbidity and the complications in operation and after operation of the children in two groups were detected by non-contact tonometer and ultrasonic biological microscope. Results : The children in two groups were followed up for an average of 12 months after surgery,and 49 eyes were follow-up after operation.Compared with control group, the vision of the children in treatment group was improved significantly, and the constituent ratio of the children with corrected visual acuity after opertion≥0.5 was significantly increased( P< 0.05);the anterior chamber depths was significantly increased( P< 0.05) and the posterior capsular opacity was significantly reduced( P <0.05). There were no significant differences in the incidences of IOP, corneal endothelium edema(CE), anterior chamber flash(ACF), and anterior chamber cellulosic exudation(ACCE) of the children in two groups ( P >0.05). Conclusion : Phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in the children with congenital cataract can effectively improve the visual acuity, anterior chamber depth and posterior capsule opacity;it
作者
赵延涛
王国强
张帅
丁颖
赵燕
ZHAO Yantao;WANG Guoqiang;ZHANG Shuai;DING Ying;ZHAO Yan(Department of ophthalmology, First Hospital, Hebei Medical University, Shijiazhuang 050031, China)
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2019年第5期1159-1162,共4页
Journal of Jilin University：Medicine Edition
基金
河北省科技厅重点科技研究计划项目资助课题(20170490)
