Whitman Mary C, Vanderveen Deborah K
Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School , Boston, Massachusetts , USA.
Semin Ophthalmol. 2014 Sep-Nov;29(5-6):414-20. doi: 10.3109/08820538.2014.959192.
Cataract surgery in young children poses different challenges and potential complications compared to those encountered in adult populations. We performed a literature review of the complications of pediatric cataract surgery.
Literature review of complications of pediatric cataract surgery.
Complications in children vary based on the age of the patient at surgery and the cause of the cataract. Common events discussed include increased inflammatory response, opacification of the posterior capsule, lens reproliferation, pupillary membrane, and amblyopia; less common events include infections, significant bleeding, and retinal detachment.
Complications after cataract surgery in children are often associated with a robust inflammatory reaction or secondary opacity and, in infants, glaucoma. Late complications can occur decades later, so that long-term follow-up is required. Though surgery carries significant risks, the consequences of no surgery and irreversible deprivation amblyopia in very young children should be considered.
与成人白内障手术相比，幼儿白内障手术面临不同的挑战和潜在并发症。我们对小儿白内障手术的并发症进行了文献综述。
对小儿白内障手术并发症进行文献综述。
儿童并发症因手术时患者年龄和白内障病因而异。讨论的常见情况包括炎症反应增加、后囊混浊、晶状体再增殖、瞳孔膜和弱视；较少见的情况包括感染、大量出血和视网膜脱离。
儿童白内障手术后的并发症通常与强烈的炎症反应或继发性混浊有关，在婴儿中还与青光眼有关。晚期并发症可能在数十年后出现，因此需要长期随访。尽管手术有重大风险，但应考虑未进行手术以及幼儿发生不可逆转的剥夺性弱视的后果。
