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目的评价儿童玻璃体切除术后无晶状体眼二期人工晶体植入术的视力效果、手术技巧及其安全性。方法对32例儿童眼内炎玻璃体切除术后的无晶状体眼行人工晶状体植入术。采用颞下方平坦部巩膜灌注,行后房型人工晶体睫状沟缝线固定术,术后随访6~24月。结果所有患者均达到或超过术前最佳矫正视力,术后裸眼视力<0.1者2眼,0.1~0.2者8眼,0.2~0.4者16眼,>0.5者4眼。无严重远期并发症。结论儿童眼内炎玻璃体切除术后二期人工晶体睫状沟缝线固定术,手术效果可靠,术后并发症少,是矫正儿童无晶状体眼的理想手术方法。
Objective To evaluate the visual acuity, surgical technique and safety of second-stage intraocular lens implantation in pediatric aphakia after vitrectomy. Methods 32 cases of children with endophthalmitis after vitrectomy were treated with intraocular lens implantation. The sclera perfusion was performed in the inferior portion of the temporal lobe, and the ciliary sulcus sutured in posterior chamber intraocular lens (IOL). The patients were followed up for 6-24 months. Results All patients reached or surpassed the best corrected visual acuity. The postoperative uncorrected visual acuity was less than 0.1 in 2 eyes, 0.1 to 0.2 eyes in 8 eyes, 0.2 to 0.4 eyes in 16 eyes and> 0.5 eyes in 4 eyes. No serious long-term complications. Conclusions The second intraocular lens ciliary sulcus suture after vitrectomy in children with endophthalmitis has reliable operation results and few postoperative complications. It is an ideal surgical method for aphakia in children.