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未行后囊切开术的小儿白内障手术后学龄前及学龄期患者的后囊膜混浊

Posterior Capsular Opacification in Preschool- and School-Age Patients after Pediatric Cataract Surgery without Posterior Capsulotomy.

作者信息

Batur Muhammed, Gül Adem, Seven Erbil, Can Ertuğrul, Yaşar Tekin

机构信息

Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology, Van, Turkey.

Ondokuz Mayıs University Faculty of Medicine, Department of Ophthalmology, Samsun, Turkey.

出版信息

Turk J Ophthalmol. 2016 Oct;46(5):205-208. doi: 10.4274/tjo.24650. Epub 2016 Oct 17.

DOI:10.4274/tjo.24650
PMID:28058161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5200831/
Abstract

OBJECTIVES

We aimed to evaluate the development of posterior capsular opacification (PCO) in preschool- and school-age children with cataract who underwent cataract surgery without posterior capsulotomy and anterior vitrectomy.

MATERIALS AND METHODS

The records of 30 eyes of 21 patients who underwent pediatric cataract surgery and intraocular lens (IOL) implantation were retrospectively reviewed. Patients' age, PCO status and duration, need for neodymium-doped yttrium aluminium garnet (Nd:YAG) laser treatment based on coverage of visual axis, and follow-up period were recorded.

RESULTS

The mean age of the patients was 7.6±2.83 (4-12) years. Unilateral cataract surgery and IOL implantation were performed in 12 patients (57.14%) and bilateral cataract surgery and IOL implantation were performed in nine patients (42.86%). Average follow-up time was 17.7±22.67 (3-83) months. PCO developed in 21 eyes (70%) and covered the visual axis in 15 eyes (50%), which therefore required Nd:YAG laser posterior capsulotomy. The mean duration of postoperative PCO development was 8.91±18.7 months (1 week-71 months).

CONCLUSION

We believe that with adequately experienced surgeons, performing both cataract surgery and posterior capsulotomy with anterior vitrectomy in the same session is appropriate for selected preschool- and school-age children with cataract.

摘要

目的

我们旨在评估未行后囊切开术和前部玻璃体切除术的白内障学龄前及学龄儿童后囊膜混浊（PCO）的发生情况。

材料与方法

回顾性分析21例接受小儿白内障手术及人工晶状体（IOL）植入术的30只眼的病历。记录患者年龄、PCO状态及持续时间、基于视轴覆盖情况的钕掺杂钇铝石榴石（Nd:YAG）激光治疗需求以及随访时间。

结果

患者平均年龄为7.6±2.83（4 - 12）岁。12例患者（57.14%）接受了单侧白内障手术及IOL植入，9例患者（42.86%）接受了双侧白内障手术及IOL植入。平均随访时间为17.7±22.67（3 - 83）个月。21只眼（70%）发生了PCO，其中15只眼（50%）的PCO覆盖了视轴，因此需要进行Nd:YAG激光后囊切开术。术后PCO发生的平均持续时间为8.91±18.7个月（1周 - 71个月）。

结论

我们认为，对于选定的白内障学龄前及学龄儿童，由经验丰富的外科医生在同一次手术中同时进行白内障手术和后囊切开术及前部玻璃体切除术是合适的。

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An Overview of Nd:YAG Laser Capsulotomy.钕钇铝石榴石激光晶状体囊切开术概述
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