Anwar M, Bleik J H, von Noorden G K, el-Maghraby A A, Attia F
El-Maghraby Eye Hospital, Ophthalmology Department, Jeddah, Saudi Arabia.
J Pediatr Ophthalmol Strabismus. 1994 May-Jun;31(3):157-61. doi: 10.3928/0191-3913-19940501-07.
Children older than 3 years of age rarely tolerate contact lenses for unilateral surgical aphakia. This problem is even more pronounced following repair of corneal lacerations or perforations that are associated with traumatic cataracts. Even if surgery is successful, such eyes are functionally doomed because of deep anisometropic amblyopia. We evaluated prospectively in 15 children (3 to 8 years) the results of combined operation of corneal repair, aspiration of traumatic cataract, and primary posterior chamber lens implantation. Postoperative occlusion treatment was carefully monitored. Follow up ranged from 6 to 60 months, with an average of 39.2 months. The final best corrected visual acuity at the patient's last visit was 20/40 or better in 11 of 15 children (73.3%). The most frequent complication was a nonfunctional pupil due to traumatic iris damage or posterior synechiae in 13 cases. The most visually significant complication was posterior membrane formation and/or posterior capsule opacification, which required additional surgeries in six children.
3岁以上儿童很少能耐受用于单侧手术性无晶状体眼的隐形眼镜。在伴有外伤性白内障的角膜裂伤或穿孔修复术后，这个问题更为明显。即使手术成功，由于深度屈光参差性弱视，这类眼睛在功能上也注定不佳。我们前瞻性地评估了15名3至8岁儿童角膜修复、外伤性白内障抽吸及一期后房型人工晶状体植入联合手术的结果。术后仔细监测遮盖治疗情况。随访时间为6至60个月，平均39.2个月。15名儿童中有11名（73.3%）在最后一次就诊时最终最佳矫正视力达到20/40或更好。最常见的并发症是13例因外伤性虹膜损伤或后粘连导致的无功能瞳孔。对视功能影响最大的并发症是后膜形成和/或后囊膜混浊，6名儿童需要再次手术。
