Lim Maria E, Buckley Edward G, Prakalapakorn S Grace
Department of Ophthalmology, Duke University, Durham, North Carolina, USA.
Curr Opin Ophthalmol. 2017 Jan;28(1):87-92. doi: 10.1097/ICU.0000000000000324.
The basic procedure of pediatric cataract surgery has not dramatically changed over the past few years. Recent multicenter study results along with technological innovations, however, have increased our understanding and armamentarium of techniques and devices used to improve outcomes.
We review surgical techniques that have been recently applied to the management of pediatric cataracts and describe newer intraocular lenses that have become available for use in the pediatric population. The 5-year results of the Infant Aphakia Treatment Study, including visual outcomes and complications, as well as other studies comparing intraocular lens implants with contact lenses for infants have shaped our management of congenital cataract. We also discuss how ocular imaging with optical coherence tomography has enhanced our understanding of the microstructural effects on pediatric eyes after cataract surgery and touch on other future innovations.
We review updates in the management of congenital cataract, which remains a major cause of preventable childhood blindness.
在过去几年中，小儿白内障手术的基本程序没有显著变化。然而，最近的多中心研究结果以及技术创新，增加了我们对用于改善手术效果的技术和设备的理解及可用手段。
我们回顾了最近应用于小儿白内障治疗的手术技术，并描述了可用于小儿患者的新型人工晶状体。婴儿无晶状体治疗研究的5年结果，包括视觉效果和并发症，以及其他比较婴儿人工晶状体植入与隐形眼镜的研究，塑造了我们对先天性白内障的治疗方式。我们还讨论了光学相干断层扫描眼部成像如何增强了我们对白内障手术后小儿眼睛微观结构影响的理解，并提及其他未来的创新。
我们回顾了先天性白内障治疗方面的进展，先天性白内障仍是儿童可预防失明的主要原因。
