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目的 评价先天性瞳孔残膜手术治疗的疗效。方法 对 1 8例 2 4眼膜性先天性瞳孔残膜进行手术切除 ,术后 1 0天对合并有斜视的患者行斜视矫正术。根据弱视性质进行综合治疗 ,随访疗效。就残膜切除的手术方法、技术要点和术后治疗进行分析。结果 膜性先天性瞳孔残膜的手术治疗 2 2眼完整切除残膜 ,2眼晶体前囊破裂 ,改行晶状体囊外摘除术联合人工晶体植入术。随访 6月～ 3年(平均 1 2 2月 ) ,视力全部提高至 0 5或 0 5以上 ,治愈率 (视力≥ 1 0 )达 2 0 8% ,切除残膜的 2 2眼瞳孔圆形 ,对光反射灵敏 ,晶状体透明 ,无远期并发症。结论 通过手术切除的方法治疗先天性瞳孔残膜效果满意 ,但应注意手术技巧和术后治疗。
Objective To evaluate the efficacy of surgical treatment of congenital pupil residual membrane. Methods Eighteen cases of congenital pupil membrane with 24 eyes were resected surgically. Strabismus patients underwent strabismus surgery on day 10 postoperatively. According to the nature of amblyopia comprehensive treatment, follow-up effect. Residual membrane excision of the surgical methods, technical points and postoperative treatment were analyzed. Results Surgical treatment of membranous congenital pupil remnants in 2 2 eyes complete resection of the residual membrane, 2 eyes of the anterior capsule rupture, the switch to extracapsular lens extraction combined with intraocular lens implantation. All the patients were followed up for 6 months to 3 years (average 12 months), visual acuity increased to 0 5 or more, the cure rate (visual acuity ≥ 10) reached 20.8%, the residual membrane of 2 2 pupil circular, Sensitive to light reflection, lens transparent, no long-term complications. Conclusion Surgical resection of the residual membrane of congenital pupil results satisfactory, but should pay attention to surgical skills and postoperative treatment.