Dong X J, Ge J J, Huang Y S
Qingdao Eye Hospital, State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao 266071, China.
Zhonghua Yan Ke Za Zhi. 2020 May 11;56(5):343-348. doi: 10.3760/cma.j.cn112142-20190628-00351.
To observe the preliminary clinical effect of intraocular lens optic capture through posterior continuous curvilinear capsulorhexis in the treatment of pediatric cataract. It was a retrospective case series study. Forty-three eyes of 28 children underwent posterior continuous curvilinear capsulorhexis with posterior chamber intraocular lens optic capture to treat cataract from June 2017 to October 2018 in Qingdao Eye Hospital. Postoperative best corrected visual acuity, diopters, intraocular pressure, the position of intraocular lens, and postoperative complications were assessed. The distribution of preoperative and postoperative best corrected visual acuity was analyzed by Fisher's exact probability test. Twenty-eight patients were 14 females and 14 males aged from 2 years old to 12 years old [mean age, (7±4) years]. All intraocular lenses were successfully captured in the posterior capsule. Patients were followed-up for 6.0 to 12.0 months (mean, 8.4 months). Except 2 eyes from one uncooperative child, the distribution of preoperative and postoperative best corrected visual acuity (<0.1, 0.1-<0.3, 0.3-<0.5, ≥0.5) had a significant difference (17, 17, 4, 3 eyes . 4, 4, 5, 28 eyes, 0.01). At the last postoperative follow-up visit, the mean spherical equivalent was (0.21±0.74) D. Transient intraocular hypertension occurred in 3 eyes at 1 week after surgery and was controlled with stopping the use of corticosteroid eyedrops. No visual axis opacification or intraocular lens decentration or tilt was observed during the follow-up period. No other complications such as iris synechia, secondary glaucoma, retinal detachment, and cystoid macular edema were observed. Posterior continuous curvilinear capsulorhexis with intraocular lens optic capture is a safe and effective technique to treat pediatric cataract. It has a significant effect on the prevention of visual axis opacification after cataract surgery in children. -.
观察后囊连续环形撕囊联合人工晶状体光学部植入治疗儿童白内障的初步临床效果。这是一项回顾性病例系列研究。2017年6月至2018年10月，在青岛眼科医院，对28例儿童的43只眼行后囊连续环形撕囊联合后房型人工晶状体光学部植入术治疗白内障。评估术后最佳矫正视力、屈光度、眼压、人工晶状体位置及术后并发症。采用Fisher精确概率检验分析术前和术后最佳矫正视力的分布情况。28例患者中，女性14例，男性14例，年龄2岁至12岁[平均年龄，(7±4)岁]。所有人工晶状体均成功植入后囊。患者随访6.0至12.0个月（平均8.4个月）。除1例不配合患儿的2只眼外，术前和术后最佳矫正视力（<0.1、0.1～<0.3、0.3～<0.5、≥0.5）的分布有显著差异（分别为17、17、4、3只眼；4、4、5、28只眼，P<0.01）。术后最后一次随访时，平均等效球镜度为(0.21±0.74)D。3只眼术后1周出现短暂性高眼压，停用糖皮质激素滴眼液后得到控制。随访期间未观察到视轴混浊、人工晶状体偏心或倾斜。未观察到虹膜粘连、继发性青光眼、视网膜脱离和黄斑囊样水肿等其他并发症。后囊连续环形撕囊联合人工晶状体光学部植入是治疗儿童白内障的一种安全有效的技术。对预防儿童白内障术后视轴混浊有显著效果。
