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目的 评价超声乳化及折叠式人工晶体植入术治疗儿童白内障的临床效果。方法 对15例(20眼)儿童白内障患儿行2.8mm切口超声乳化及折叠式人工晶体植入术,其中先天性白内障11眼,外伤性白内障7眼,低钙性白内障2眼。术后随访3月～26月,观察视力、并发症和角膜曲率的变化。结果 先天性白内障术后矫正视力1眼0.05,5眼0.05～0.3,5眼矫正视力≥0.5,外伤性白内障2眼0.12。5眼≥0.6;低钙性白内障2眼≥1.0。术前、术后1月角膜曲率变化差异无显著性。随访中6眼行后囊切开。结论 超声乳化联合折叠式人工晶体植入术治疗儿童白内障术后反应轻,并发症少,能最大限度减少手术源性散光。
Objective To evaluate the clinical effect of phacoemulsification and foldable intraocular lens implantation in children with cataract. Methods A total of 15 children (20 eyes) with cataract received 2.8mm incision phacoemulsification and foldable intraocular lens implantation, including 11 eyes of congenital cataracts, 7 eyes of traumatic cataract and 2 eyes of hypocal cataract. The patients were followed up for 3 months to 26 months. Visual acuity, complications and corneal curvature were observed. Results The corrected visual acuity of congenital cataract was 0.05, 0.05 was 0.05 ~ 0.3, the corrected visual acuity was 0.5, the incidence of traumatic cataract was 0.12.5, the incidence of traumatic cataract was 0.6; There was no significant difference in corneal curvature between preoperative and postoperative January. 6 eyes underwent posterior capsulotomy. Conclusion Phacoemulsification combined with foldable intraocular lens implantation has the advantages of less reaction and less complications after cataract surgery, which can minimize the surgical astigmatism.