Hiles D A
Int Ophthalmol Clin. 1977 Winter;17(4):221-42.
The intraocular lens offers an experimental alternative to be considered for the visual rehabilitation of children with traumatic or unilateral infantile cataracts. The disadvantages of aphakic spectacles or contact lenses and amblyopia have committed many of these eyes to the status of visual cripples. In this series of 41 patients with a maximum of 24 months follow-up, it has been concluded that an IOL may be successfully implanted. I wish to reemphasize that vitreous involvement does not preclude IOL implantation providing all the vitreous is removed from the anterior chamber by the conclusion of the operation. Discissions of secondary membranes should be performed if there is any doubt as to the clarity of the membrane. All patients should be repeatedly refracted and the over-refraction prescribed to assure that the child is obtaining the best possible form vision to the aphakic eye. Bifocals are encouraged for near work. Vigorous occlusion therapy is undertaken in all patients exhibiting signs of amblyopia.
人工晶状体为创伤性或单侧婴幼儿白内障患儿的视力康复提供了一种可供考虑的实验性替代方法。无晶状体眼镜或隐形眼镜的缺点以及弱视已使许多此类患儿的眼睛沦为视力残障状态。在这组41例患者中，最长随访24个月，已得出结论：人工晶状体可成功植入。我想再次强调，如果手术结束时前房内的玻璃体全部清除，玻璃体受累并不排除人工晶状体植入。如果对膜的清晰度有任何疑问，应进行后囊膜切开。所有患者均应反复验光并开出过矫处方，以确保患儿无晶状体眼获得尽可能好的视力。鼓励使用双焦点镜片进行近视力工作。对所有有弱视迹象的患者进行积极的遮盖治疗。
