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目的 观察儿童白内障摘除Ⅰ期后囊截开的临床疗效。方法 5 4例 (5 6眼 )行白内障囊外摘除 ,同期将后囊截开 2mm小口 ;术后最少随访 6个月 ,平均 8个月。结果 32 %(18/ 5 6 )眼维持视轴中央透明 ,46 %(2 6 / 5 6 )截囊口有不匀薄膜 ,但对视力影响不大 ,总有效率为 78%,2 2 %(12 / 5 6 )形成后发障 ,未发现青光眼、玻璃体疝、黄斑囊样水肿等并发症。结论 该手术对减少后发障的发生有一定的疗效 ,并且是安全的 ,适于基层医院应用。
Objective To observe the clinical efficacy of posterior capsulotomy in children with cataract extraction Ⅰ. Methods Fifty-four cases (56 eyes) underwent extracapsular cataract extraction and the posterior capsulotomy was performed on 2mm incision. The patients were followed up for at least 6 months with an average of 8 months. Results 32% (18/56) of the eyes maintained central visual axis transparency, 46% (26/56) of the TSN had an uneven film, but had little effect on visual acuity. The total effective rate was 78% and 22% (12/56) formed after the fault, found no glaucoma, vitreous hernia, cystoid macular edema and other complications. Conclusions The operation has some curative effect on reducing the incidence of post-stroke, and is safe and suitable for primary hospital application.