先天性白内障手术：发展中国家 62 例患者的回顾性分析。
Congenital Cataract Surgery: A Retrospective Analysis of 62 Patients in a Developing Country.
机构信息
Department of General and Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
Department of Ophthalmology, Prince Hamza Hospital, Amman, Jordan.
出版信息
Comput Math Methods Med. 2021 Dec 23;2021:6431276. doi: 10.1155/2021/6431276. eCollection 2021.
PURPOSE
This study was aimed at describing our experience in congenital cataract surgery in a developing Country.
METHODS
A retrospective study was conducted in Amman, Jordan. The patients who were diagnosed with congenital cataract and underwent the surgery were included in the study. It was decided to use an intraocular lens if the corneal diameter was more than 10 millimeters.
RESULTS
The findings revealed that around 13 of the patients did not have any visual axis opacification, indicating that they were aphakic. Visual axis opacification was seen in 8 out of the total sample of participants. Eleven patients with obvious opacification of the visual axis were found to be pseudophakic after at least two procedures and were thus cleared. It was necessary to do a second surgery to rectify the visual axis opacification induced by pseudophakia, which was putting the patient's ability to recuperate at danger. Three of them (or 12 percent) exhibited visual axis opacification, which is a rare occurrence. The intraocular lenses used in the remaining 24 patients were constructed of hydrophilic plastic.
CONCLUSION
Patients are less prone to have visual axis opacification while implanted by hydrophobic intraocular lenses is something they should consider.
目的
本研究旨在描述我们在发展中国家进行先天性白内障手术的经验。
方法
在约旦安曼进行了一项回顾性研究。纳入了被诊断为先天性白内障并接受手术的患者。如果角膜直径大于 10 毫米，则决定使用人工晶状体。
结果
研究结果显示，约 13 名患者没有任何视觉轴混浊，表明他们是无晶状体的。在总样本中，有 8 名患者出现了视觉轴混浊。11 名视觉轴明显混浊的患者在至少两次手术后被发现为假性白内障，因此得到了缓解。有必要进行第二次手术以纠正假性白内障引起的视觉轴混浊，这会使患者的康复能力处于危险之中。其中 3 名（或 12%）患者出现了视觉轴混浊，这是一种罕见的情况。其余 24 名患者使用的人工晶状体是亲水塑料制成的。
结论
患者在植入疏水性人工晶状体时不太容易发生视觉轴混浊，这是他们应该考虑的因素。
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