Bienfait M F, Pameijer J H, Wildervanck de Blécourt-Devilee M
Eye Hospital, Rotterdam, The Netherlands.
Int Ophthalmol. 1990 Jul;14(4):271-6. doi: 10.1007/BF00159863.
A group of 23 children with traumatic pseudophakia was evaluated. Intraocular lens (IOL) implantation was performed as a primary procedure, immediately after aspiration of the traumatic lens, in 7 cases and as a secondary procedure in 16 cases. The mean followup was 6.5 years, varying from 1.5 to 11 years. A visual acuity of 0.7 or more was achieved in 3 of the 8 patients under 7 years of age and in 13 of the 15 cases from 7 to 14 years of age. Awaiting longer follow-up results of epikeratophakia in children we advise to perform early IOL implantation in children under 7 years of age, combined with a rigid amblyopia treatment scheme. In children older than 7 years of age we prefer to try the use of contact lenses first and preserve IOL implantation for selected cases.
对一组23例外伤性无晶状体眼儿童进行了评估。7例患儿在外伤性晶状体吸出术后立即植入人工晶状体（IOL）作为一期手术，16例作为二期手术。平均随访6.5年，范围为1.5至11年。7岁以下的8例患者中有3例、7至14岁的15例患者中有13例视力达到0.7或更好。鉴于儿童表层角膜镜片术的随访结果还需更长时间，我们建议对7岁以下儿童尽早植入IOL，并结合严格的弱视治疗方案。对于7岁以上儿童，我们倾向于先尝试使用隐形眼镜，仅对部分病例实施IOL植入。
