Dahan E, Salmenson B D
St. John Eye Hospital, Johannesburg, South Africa.
J Cataract Refract Surg. 1990 Jan;16(1):75-82. doi: 10.1016/s0886-3350(13)80878-4.
Intraocular lens implantation in young children can yield satisfactory results when the surgical techniques are modified and adapted to the child's eye. Between June 1983 and July 1988, 84 posterior chamber lenses were implanted in 80 children aged 2 months to 8 years. An elective posterior capsulotomy followed by an anterior vitrectomy was performed in all cases prior to the lens insertion. This step allowed a permanent clear visual axis which in turn has facilitated visual rehabilitation of the pseudophakic eye. The best results occurred in the developmental cataract group followed by the traumatic cataract group; the poorest visual outcome occurred in patients with unilateral congenital cataracts. Amblyopia treatment and alternative methods of correcting pediatric aphakia are discussed.
当手术技术经过改进并适用于儿童眼睛时，幼儿人工晶状体植入术可产生令人满意的效果。1983年6月至1988年7月期间，为80名年龄在2个月至8岁的儿童植入了84枚后房型人工晶状体。所有病例在植入晶状体之前均进行了选择性后囊切开术，随后进行了前部玻璃体切除术。这一步骤确保了永久清晰的视轴，进而促进了人工晶状体眼的视觉康复。发育性白内障组的效果最佳，其次是外伤性白内障组；单侧先天性白内障患者的视觉效果最差。文中还讨论了弱视治疗以及矫正儿童无晶状体眼的其他方法。
