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目的:探讨儿童二期人工晶体植入的疗效。方法:对36只儿童无晶体眼,在充分分离虹膜与后囊膜的粘连,形成开放的后房间隙后,根据后囊膜完整与否,采用不同术式植入后房型人工晶体。随访1~20个月,观察视力矫正情况。结果:所有的患儿裸眼视力均等于或高于术前矫正视力,其中,裸眼视力高于术前矫正视力者22眼(61.1%)。矫正视力高于术前矫正视力者32眼(88.8%),等于术前者4眼(11.1%)。结论:后房型人工晶体二期植入对矫正儿童术后无晶体眼是有效的,但术后应加强抗炎的和弱视治疗。眼科学报1998;14:236~237。
Objective: To investigate the effect of second-stage intraocular lens implantation in children. Methods: 36 children with aphakia, iris and posterior capsule after the full separation of adhesions, the formation of an open posterior chamber gap, according to the integrity of the posterior capsule, the use of different surgical implantation of posterior chamber intraocular lens. Follow-up 1 ~ 20 months, visual acuity was observed. Results: All children with uncorrected visual acuity were equal to or higher than preoperative corrected visual acuity. Among them, 22 eyes (61.1%) had uncorrected visual acuity than preoperative visual acuity. 32 eyes (88.8%) had corrected visual acuity higher than preoperative corrected visual acuity, which was equal to 4 eyes (11.1%) preoperatively. CONCLUSION: Posterior chamber intraocular lens implantation is effective in ameliorating aphakia in children. However, postoperative anti-inflammatory and amblyopic treatment should be strengthened. Journal of Ophthalmology 1998; 14: 236 ~ 237.