Neely D E, Plager D A
Department of Ophthalmology, Section of Pediatric Ophthalmology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Ophthalmol Clin North Am. 2001 Sep;14(3):493-9. doi: 10.1016/s0896-1549(05)70247-9.
Marfan syndrome, homocystinuria, trauma, and simple ectopia lentis are the most common causes of pediatric lens subluxation. Many patients are best treated with a careful refraction of the phakic or aphakic pupillary axis. For those patients not achieving satisfactory refractive results, endocapsular lensectomy using modern automated vitreous cutting devices is relatively safe and successful. Given the lack of postoperative capsular support and our current level of intraocular lens technology, postoperative optical correction is most safely achieved with aphakic contact lenses or spectacles.
马凡综合征、同型胱氨酸尿症、外伤和单纯晶状体异位是儿童晶状体半脱位最常见的原因。许多患者通过仔细验光测量有晶状体或无晶状体瞳孔轴来进行最佳治疗。对于那些屈光结果不理想的患者，使用现代自动化玻璃体切割设备进行囊内晶状体切除术相对安全且成功率较高。鉴于缺乏术后囊膜支撑以及我们目前的人工晶状体技术水平，术后最安全的光学矫正方法是使用无晶状体隐形眼镜或眼镜。
