Bobrova N F
Oftalmol Zh. 1990(5):261-6.
The paper describes the technique of reconstruction of the anterior segment of the eye used in 46 children, aged from 3 to 14 years, with coarse adherent corneal leukomas, adhesions and obliterations of the pupil, cataracts of mainly (89.2%) posttraumatic etiology. Besides rotatory penetrating autokeratoplasty, the complex surgical intervention included iridoplasty in 91.3%, cataract extraction in 82.6%, anterior vitrectomy in 17.4%, intraocular lens implantation in 2.2% of cases. The complex surgical intervention allowed to achieve transparency of the central zone of the cornea thanks to avoidance of tissue incompatibility, harmless manipulations on the tissues of the anterior segment of the eye, prevention of recurrent adhesions in the anterior chamber. A rise of visual acuity was recorded in 33 persons (71.7%), of them to 0.3-0.7 with correction in 30.8% of cases in remote terms of follow-up. Improvement of cosmetic appearance was achieved in all of the patients operated on.
该论文描述了对46名3至14岁儿童采用的眼前段重建技术，这些儿童患有粗大粘连性角膜白斑、瞳孔粘连和闭锁，主要为（89.2%）外伤后病因的白内障。除了旋转穿透性自动角膜移植术外，复杂的手术干预包括91.3%的虹膜成形术、82.6%的白内障摘除术、17.4%的前段玻璃体切除术、2.2%的病例进行人工晶状体植入。由于避免了组织不相容性、对眼前段组织进行无害操作、预防前房复发性粘连，复杂的手术干预使角膜中央区实现了透明。33人（71.7%）视力提高，其中在随访远期有30.8%的病例矫正后视力达到0.3 - 0.7。所有接受手术的患者外观均有改善。
