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[小儿白内障后房型人工晶状体光学部捕获的后连续环形撕囊术]

[Posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens in pediatric cataract].

作者信息

Chen Mao-sheng, Ye Ying-jia, Wang Yong, Liu Yong, Wu Lei, Luo Wei-xiao

机构信息

Wuhan Aier Eye Hospital, Wuhan, 430063, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2006 May;42(5):400-2.

PMID:16762232
Abstract

OBJECTIVE

To assess the clinical effects of posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens in pediatric cataract.

METHODS

Fifty-one cases (83 eyes) received posterior continuous curvilinear capsulorhexis with optic capture of the posterior chamber intraocular lens. Preoperative and postoperative visual acuity and refractive error were recorded. Intraoperative and postoperative complications were observed. The follow-up period was from 6 to 36 months.

RESULTS

Implantation of optic capture of the posterior chamber intraocular lens was successfully performed in 75 eyes (90.4%). The mean postoperative best corrected distant visual acuity achieved 0.5 or better in 75 eyes (48.0%). No eyes with optic capture were found optic axis opaque. The major complications of optic capture were anterior chamber fibrous exudation, iris posterior synechia and lenticular precipitates.

CONCLUSION

Optic capture of the posterior chamber intraocular lens is safe and effective in the treatment of pediatric cataract to posterior continuous curvilinear capsulorhexis especially in the prevention of secondary opacification from the visual axis.

摘要

目的

评估儿童白内障手术中后囊连续环形撕囊联合后房型人工晶状体光学部植入术的临床效果。

方法

51例(83只眼)接受后囊连续环形撕囊联合后房型人工晶状体光学部植入术。记录术前、术后视力及屈光不正情况。观察术中及术后并发症。随访时间为6至36个月。

结果

75只眼(90.4%)成功植入后房型人工晶状体光学部。术后平均最佳矫正远视力达到0.5及以上的有75只眼(48.0%)。未发现光学部植入眼的视轴混浊。光学部植入的主要并发症为前房纤维渗出、虹膜后粘连和晶状体沉着物。

结论

后房型人工晶状体光学部植入术联合后囊连续环形撕囊治疗儿童白内障安全有效,尤其在预防视轴继发性混浊方面效果显著。

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引用本文的文献

1
Capsular Outcomes After Pediatric Cataract Surgery Without Intraocular Lens Implantation: Qualitative Classification and Quantitative Measurement.小儿白内障手术无人工晶状体植入后的囊膜结局:定性分类与定量测量
Medicine (Baltimore). 2016 Mar;95(10):e2993. doi: 10.1097/MD.0000000000002993.