Lambert S R, Drack A V
Department of Ophthalmology, Emory University, Atlanta, Georgia, USA.
Surv Ophthalmol. 1996 May-Jun;40(6):427-58. doi: 10.1016/s0039-6257(96)82011-x.
Cataracts are one of the most treatable causes of visual impairment during infancy. Recent epidemiological studies have shown that they have a prevalence of 1.2 to 6.0 cases per 10,000 infants. The morphology of infantile cataracts can be helpful in establishing their etiology and prognosis. Early surgery and optical correction have resulted in an improved outcome for infants with either unilateral or bilateral cataracts. While contact lenses continue to be the standard means of optically correcting an infant's eyes after cataract surgery, intraocular lenses are gaining in popularity as an alternative means of optically correcting these eyes. Post-operative complications occur more commonly after infantile than adult cataract surgery and many of these complications do not develop until years later. As a result, it is critical that children be followed closely on a long term basis after infantile cataract surgery.
白内障是婴儿期视力损害最可治疗的病因之一。最近的流行病学研究表明,其患病率为每10000名婴儿中有1.2至6.0例。婴儿白内障的形态有助于确定其病因和预后。早期手术和光学矫正已使单侧或双侧白内障婴儿的预后得到改善。虽然隐形眼镜仍然是白内障手术后矫正婴儿眼睛视力的标准方法,但人工晶状体作为矫正这些眼睛视力的替代方法越来越受欢迎。婴儿白内障手术后比成人白内障手术后更常出现术后并发症,而且其中许多并发症要到数年之后才会出现。因此,婴儿白内障手术后长期密切随访儿童至关重要。