Xie Ying-Bin, Ren Mei-Yu, Wang Qi, Wang Li-Hua
Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong Province, China.
Int J Ophthalmol. 2018 Aug 18;11(8):1403-1410. doi: 10.18240/ijo.2018.08.24. eCollection 2018.
Posterior capsule opacification (PCO) remains the most common complication of pediatric cataract surgery despite continuous efforts to reduce its incidence. For this reason, pediatric cataract surgeons have expended considerable effort into preventing and mitigating PCO. The intraocular lens (IOL) optic capture technique has been used for the prevention of PCO after pediatric cataract surgery for more than 20y, but there is still no professional consensus. However, recent research has shown encouraging results. The IOL optic capture technique can be performed without anterior vitrectomy to prevent PCO, even in younger children. The type and characteristics of IOLs used for optic capture technique, the location of IOL and the complications of IOL optic capture in children are here reviewed.
尽管一直在努力降低小儿白内障手术的发生率，但后囊膜混浊（PCO）仍是小儿白内障手术最常见的并发症。因此，小儿白内障外科医生在预防和减轻PCO方面付出了巨大努力。人工晶状体（IOL）光学部夹持技术已用于预防小儿白内障手术后的PCO超过20年，但仍未达成专业共识。然而，最近的研究显示出令人鼓舞的结果。即使是年幼的儿童，也可以在不进行前部玻璃体切割术的情况下采用IOL光学部夹持技术来预防PCO。本文综述了用于光学部夹持技术的IOL的类型和特点、IOL的位置以及儿童IOL光学部夹持的并发症。
