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作者着重从术后视力、术后并发症、双眼视功能和角膜内皮状态方面研究了25眼儿童人工晶体(IOL)植入后的临床过程。对象与方法:25眼儿童白内障中外伤性8眼,先天性11眼、类固醇性6眼。2例先天性和3例类固醇性为双侧性。年龄5～15岁,平均10.8岁。平均随访时间;外伤性6.8年,先天性3.7年,类固醇性2.1年。男18例,女2例。作者植入 IOL 的适应证是:(1)病人年龄4岁以上。(2)病史或首次检查提示白内障手术可能改善术后视力。(3)不存在主要的并发症,如先天畸形、风疹综合征和外伤引起的玻璃体视网膜问题。行晶体乳化术和后房 IOL 植入的占24眼,外伤组1眼为首次手术一年后植入前房型IOL。大多数病例为开罐式前囊切开植入。用Keeler-Konan 镜面显微镜观察角膜中心,计
The authors focused on the clinical course of 25 children’s intraocular lens (IOL) implantation following postoperative visual acuity, postoperative complications, binocular visual function, and corneal endothelial status. Subjects and Methods: There were 8 traumatic eyes of 25 children with cataract, 11 eyes of congenital and 6 eyes of steroid. Two cases of congenital and three steroids were bilateral. Aged 5 to 15 years old, with an average of 10.8 years old. Average follow-up time; Trauma 6.8 years, congenital 3.7 years, steroid 2.1 years. 18 males and 2 females. Indications for implanting an IOL are: (1) The patient is over 4 years of age. (2) history or first examination suggest cataract surgery may improve postoperative visual acuity. (3) There are no major complications such as congenital malformations, rubella syndrome and traumatic vitreoretinal problems. Twenty-four eyes underwent both crystalline lens emulsification and posterior chamber IOL implantation. One case of trauma group was implanted with anterior chamber IOL one year after the first operation. Most cases are open can anterior capsulotomy. The corneal center was observed with a Keeler-Konan microscope