Vajpayee R B, Angra S K, Titiyal J S, Sharma Y R, Chabbra V K
Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Am J Ophthalmol. 1991 Jun 15;111(6):715-8. doi: 10.1016/s0002-9394(14)76777-7.
We studied 16 children, ranging in age between 3 and 8 years, who had posterior chamber intraocular lens implantation and developed inflammatory pupillary-block glaucoma. Prophylactic peripheral iridectomy had not been performed in any of the eyes. The patients were treated medically, and YAG laser iridotomy was performed successfully one week after initial control of intraocular pressure. Of 16 eyes in which intraocular pressure remained uncontrolled, trabeculectomy was necessary in three eyes and irreversible glaucomatous visual loss occurred in two eyes. Our data demonstrate the need for stringent and more frequent postoperative follow-up of children after intraocular lens implantation, especially during the first four postoperative weeks. Careful long-term follow-up for treatment after cataract is mandatory to prevent development of amblyopia.
我们研究了16名年龄在3至8岁之间的儿童，他们接受了后房型人工晶状体植入术并发生了炎性瞳孔阻滞性青光眼。所有眼睛均未进行预防性周边虹膜切除术。对这些患者进行了药物治疗，并在眼压初步控制一周后成功实施了YAG激光虹膜切开术。在16只眼压仍未得到控制的眼睛中，3只眼睛需要进行小梁切除术，2只眼睛发生了不可逆的青光眼性视力丧失。我们的数据表明，人工晶状体植入术后的儿童需要进行严格且更频繁的术后随访，尤其是在术后的前四周。白内障手术后必须进行仔细的长期随访以防止弱视的发生。
