Hiles D A, Wallar P H
Int Ophthalmol Clin. 1977 Winter;17(4):265-82.
Aspiration and its modifications have been shown to be a superior operative procedure for neonatal, congenital, infantile, and acquired cataracts. However, the visual results obtained in the infantile cataractous eye, whether the opacity is complete or partial, still remain within the same range as the results of other operative techniques reported over the last 3 decades. Adequate visual results often cannot be obtained because of the associated systemic and/or ocular defects or failure of optical and amblyopia treatment. Perhaps increased efforts should be made to perform surgery at even earlier ages in those patients with complete, or in some cases, partial, cataracts in which surgery is contemplated. In children with partial cataracts who are able to function well, the lens should be allowed to remain in place and conservative measures of visual preservation should be undertaken for as long as possible. This allows the eye more time to develop normal visual functions with an intact lens and accommodative mechanisms. It should be stressed again that the sole success or failure of surgery for infantile cataracts cannot always be the visual acuity. The real measure is the child's ability to function successfully in his environment for the remainder of his life.
抽吸术及其改良方法已被证明是治疗新生儿、先天性、婴儿期和后天性白内障的一种更为优越的手术方法。然而，无论混浊是完全性还是部分性，婴儿白内障眼所获得的视觉效果仍与过去30年报道的其他手术技术的效果处于同一范围。由于相关的全身和/或眼部缺陷或光学及弱视治疗失败，往往无法获得足够的视觉效果。对于那些考虑进行手术的完全性或在某些情况下部分性白内障患者，或许应加大力度在更早的年龄进行手术。对于能够正常视物的部分性白内障儿童，应尽可能让晶状体留在原位，并采取保守的视力保护措施。这能让眼睛有更多时间在晶状体和调节机制完整的情况下发育正常的视觉功能。应该再次强调的是，婴儿白内障手术的成败不能仅仅以视力来衡量。真正的衡量标准是孩子在其余生中在所处环境中成功生活的能力。
