Kałuzny Józef, Koszewska-Kołodziejczak Aleksandra, Kałuzny Jakub J
Kliniki Okulistycznej Akademii Medycznej w Bydgoszczy.
Klin Oczna. 2003;105(5):267-71.
To evaluate anatomical and functional results of cataract extraction and IOL implantation, together with posterior capsulectomy and anterior vitrectomy in children.
Cataract extraction and IOL implantation with posterior capsulectomy and anterior vitrectomy was performed in 32 eyes of children between 17 months and 8 years old. Patients were followed up for a mean period 36 months (from 6 months to 5.5 years).
Good anatomical results were achieved in all, except 2 cases. One eye required removal of opacifications located posterior to the IOL In the second eye membrane from the anterior surface of the lens were excised. Final postoperative visual acuity in eyes with bilateral cataract was 0.59, whereas in unilateral cataract 0.25. Half of the children with bilateral cataract has significantly worse BCVA in one eye.
Cataract extraction and IOL implantation with posterior capsulectomy and anterior vitrectomy in young children gives good anatomical results. Functional results are better in bilateral congenital cataract, comparing to unilateral cases. To achieve good functional results, visual rehabilitation is necessary.
评估儿童白内障摘除联合人工晶状体植入术，以及后囊切开术和前部玻璃体切除术的解剖学和功能学结果。
对17个月至8岁儿童的32只眼进行白内障摘除联合人工晶状体植入术，并进行后囊切开术和前部玻璃体切除术。患者平均随访36个月（6个月至5.5年）。
除2例患者外，所有患者均获得了良好的解剖学结果。一只眼需要清除人工晶状体后方的混浊物，另一只眼则切除了晶状体前表面的膜。双侧白内障患者术后最终视力为0.59，而单侧白内障患者为0.25。一半双侧白内障儿童的一只眼最佳矫正视力明显较差。
幼儿白内障摘除联合人工晶状体植入术及后囊切开术和前部玻璃体切除术可取得良好的解剖学效果。与单侧病例相比，双侧先天性白内障的功能学结果更好。为获得良好的功能学结果，视觉康复是必要的。
