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目的观察儿童外伤性白内障人工晶体植入术的临床疗效。方法对36例3～12岁儿童外伤性白内障行一期或二期白内障手术,随访时间6～36个月,分析手术效果及并发症情况。结果手术脱盲率91%,手术脱残率70%,术后主要并发症是前部葡萄膜反应性炎症为100%,其中较明显者7例(19%),角膜水肿15例(42%),后囊膜混浊8例(22%),虹膜粘连4例(11%),人工晶体夹持2例(6%)。结论适当的手术方法和手术时机的选择对儿童外伤性白内障提高术后视力,减少术后并发症,重建双眼单视功能,避免弱视和斜视的发生至关重要。
Objective To observe the clinical effects of traumatic cataract surgery in children with intraocular lens implantation. Methods Thirty-six children with traumatic cataract who were 3 to 12 years old underwent primary or secondary cataract surgery. The follow-up time ranged from 6 to 36 months. The operative effect and complications were analyzed. Results The rate of surgical blindness was 91% and surgical disability rate was 70%. The main postoperative complications were 100% of the anterior uveal reactive inflammation, of which 7 were more obvious (19%) and 15 (42%) were corneal edema , Posterior capsular opacification in 8 cases (22%), iris adhesion in 4 cases (11%) and intraocular lens clamping in 2 cases (6%). Conclusion Appropriate surgical methods and timing of surgery are important for children with traumatic cataract to improve postoperative visual acuity, reduce postoperative complications, reconstruct binocular monovision and avoid amblyopia and strabismus.