Hiles D A, Watson B A
J Am Intraocul Implant Soc. 1979 Jan;5(1):24-32. doi: 10.1016/s0146-2776(79)80010-5.
Rapid recognition and appropriate therapy will prevent or remediate most of the complications occurring in children after cataract aspiration and IOL implantation. Some of the complications of pediatric IOL implantations are related to the increased scleral pliability and decreased rigidity which predispose scleral collapse, vitreous loss, flat anterior chamber and corneal endothelial damage. A second group of complications is associated with the enhanced inflammatory and fibrotic responses peculiar to a child's eye. This group includes operative striate keratitis and iridocyclitis, late IOL precipitates, secondary and postpseudophakos membranes, iris erosion and synechiae formation, and IOL tilt and displacement. Although the intraocular lens is a possible means of visual rehabilitation for children with traumatic cataracts or unilateral infantile cataracts, its long-term risk/benefit ratio must still stand the test of time.
快速识别并进行适当治疗可预防或纠正大多数儿童白内障吸出及人工晶状体植入术后出现的并发症。小儿人工晶状体植入的一些并发症与巩膜柔韧性增加和硬度降低有关，这易导致巩膜塌陷、玻璃体丢失、前房变平及角膜内皮损伤。另一组并发症与儿童眼睛特有的炎症和纤维化反应增强有关。这组并发症包括手术性条纹状角膜炎和虹膜睫状体炎、人工晶状体晚期沉着物、继发性和后发性假晶状体膜、虹膜糜烂和粘连形成，以及人工晶状体倾斜和移位。尽管人工晶状体是外伤性白内障或单侧婴儿白内障患儿视力康复的一种可能手段，但其长期风险/效益比仍须经受时间的考验。
