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目的评价压贴镜联合弱视训练在婴幼儿先天性白内障术后无晶体眼的疗效。方法连续收集44例(87眼),年龄为4～30个月婴幼儿分为2组。治疗组23例(45眼)为先天性白内障,均在全麻下行白内障注吸及后囊膜连续环形撕囊术,术毕在全麻状态下,由视光师检影验光,术后一周配压贴球镜,联合红光闪烁弱视治疗,随访6～18月。对照组为正常婴幼儿21例(42眼),视觉发育正常。2组治疗或观察前后均采用优先注视法检查视力。结果1.术后随访时视力明显高于出院时视力(P<0.05),但低于正常对照组视力(P<0.05)。2.术中检影屈光度为+14DS～+20DS,其中+16DS～+17DS者26眼占57.718%。3.连续性后囊膜环形撕囊,可以保持视轴区透明,观察期内未见明显后发障。结论婴幼儿先天性白内障术中全麻状态下检影验光,用压贴球镜矫正屈光不正,验光准确,镜片轻便,婴幼儿易接受,值得推广。术后及时弱视训练,可促进视觉发育。
Objective To evaluate the efficacy of lamination combined with amblyopia training for aphakia after infantile cataract surgery. Methods Forty-four infants (87 eyes) were collected, and infants from 4 to 30 months old were divided into two groups. In the treatment group, 23 cases (45 eyes) were congenital cataract. All patients underwent cataract extraction and posterior capsular continuous curvilinear capsulotomy under general anesthesia. At the end of operation, With pressure stick mirror, combined with red flicker amblyopia treatment, followed up 6 to 18 months. Control group, 21 cases of normal infants (42 eyes), visual development was normal. Before or after treatment or observation, the two groups adopted preferential fixation to check their eyesight. Visual acuity was significantly higher at postoperative follow-up than that at discharge (P <0.05), but lower than that in normal controls (P <0.05). Intraoperative retinoscopy refraction +14 DS ~ +20 DS, of which +16 DS ~ +17 DS 26 eyes accounted for 57.718%. 3. Posterior capsulotomy capsulorhexis, can keep the optic axis of the transparent, no significant after the observation period obstacle. Conclusions Infantile congenital cataract surgery under general anesthesia retinoscopy optometry with pressure ball correction refractive errors, accurate optometry, lenses light, easy to accept infants and children, it is worth promoting. Timely amblyopia training can promote visual development.