白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除手术在儿童先天性白内障治疗中的应用

doi:10.13481/j.1671-587x.20190531

吉林大学学报(医学版) ›› 2019, Vol. 45 ›› Issue (05): 1159-1162.doi: 10.13481/j.1671-587x.20190531

• 临床医学 • 上一篇

白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除手术在儿童先天性白内障治疗中的应用

赵延涛, 王国强, 张帅, 丁颖, 赵燕

河北医科大学第一医院眼科, 河北石家庄 050031

收稿日期:2018-11-11 发布日期:2019-10-08
通讯作者: 王国强,主任医师,副教授(Tel:0311-85885120,E-mail:yantaoz76@163.com) E-mail:yantaoz76@163.com
作者简介:赵延涛(1976-),男,河北省邯郸市人,主治医师,医学硕士,主要从事白内障和青光眼基础与临床方面的研究。
基金资助:
河北省科技厅重点科技研究计划项目资助课题（20170490）

Application of phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in treatment of children with congenital cataract

ZHAO Yantao, WANG Guoqiang, ZHANG Shuai, DING Ying, ZHAO Yan

Department of ophthalmology, First Hospital, Hebei Medical University, Shijiazhuang 050031, China

Received:2018-11-11 Published:2019-10-08

摘要/Abstract

摘要： 目的：分析白内障超声乳化吸除加人工晶状体植入联合玻璃体切除术对儿童先天性白内障的疗效，探讨其有效性和安全性。方法：选择本院收治的43例（49眼）3~7岁先天性白内障患儿作为研究对象，按照治疗方法不同将研究对象分为对照组23例（26眼）和治疗组20例（23眼）。对照组患儿行白内障超声乳化吸除联合人工晶状体植入，治疗组患者施行白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除术。观察2组患儿术后视力，采用非接触式眼压计和超声生物显微镜比较2组患儿术后眼压（IOP）、前房深度、后囊浑浊程度及术中、术后并发症发生情况。结果： 2组患儿术后平均随访12个月，术后随访49眼；与对照组比较，治疗组患儿视力明显提高，术后矫正视力≥0.5者构成比明显增加（P<0.05），前房深度明显升高（P<0.05），后囊混浊程度明显减轻（P<0.05）。2组患儿IOP及角膜内皮水肿（CE）、前房闪辉（ACF）和前房纤维素样渗出（ACCE）等并发症发生率比较差异无统计学意义（P>0.05）。结论：儿童先天性白内障术中行白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除术，能够有效改善患儿视力、前房深度和后囊混浊程度，更有助于患儿术后视功能重建。

关键词: 人工晶状体, 前玻璃体切除术, 先天性白内障, 白内障超声乳化吸除

Abstract: Objective:To analyze the curative effect of phacoemulsification and to intraocular lens implantation combined with anterior vitrectomy in the children with congenital cataract, and to investigate its effectiveness and security. Methods:A total of 43 cases(49 eyes) of 3-7 years old congenital cataract children who were admitted to our hospital were selected as the subjects. According to different treatment methods, the children were divided into control group (23 cases with 26 eyes) and treatment group (20 cases with 23 eyes). The children in control group were treated with phacoemulsification and intraocular lens implantation and the children in treatment group were treated with phacoemulsification, intraocular lens implantation and anterior vitrectomy. After operation, the vision of the children in two groups was observed; the intraocular pressure(IOP), anterior chamber depth, posterior capsule turbidity and the complications in operation and after operation of the children in two groups were detected by non-contact tonometer and ultrasonic biological microscope. Results:The children in two groups were followed up for an average of 12 months after surgery,and 49 eyes were follow-up after operation.Compared with control group, the vision of the children in treatment group was improved significantly,and the constituent ratio of the children with corrected visual acuity after opertion ≥ 0.5 was significantly increased(P<0.05);the anterior chamber depths was significantly increased(P<0.05) and the posterior capsular opacity was significantly reduced(P<0.05). There were no significant differences in the incidences of IOP, corneal endothelium edema(CE), anterior chamber flash(ACF), and anterior chamber cellulosic exudation(ACCE) of the children in two groups(P>0.05). Conclusion:Phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in the children with congenital cataract can effectively improve the visual acuity, anterior chamber depth and posterior capsule opacity; it is more helpful for the reconstruction of visual function after operation in the children.

Key words: intraocular lens, anterior vitrectomy, congenital cataract, phacoemulsification

中图分类号:

R776.1

赵延涛, 王国强, 张帅, 丁颖, 赵燕. 白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除手术在儿童先天性白内障治疗中的应用[J]. 吉林大学学报(医学版), 2019, 45(05): 1159-1162.

ZHAO Yantao, WANG Guoqiang, ZHANG Shuai, DING Ying, ZHAO Yan. Application of phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in treatment of children with congenital cataract[J]. Journal of Jilin University(Medicine Edition), 2019, 45(05): 1159-1162.

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白内障超声乳化吸除加人工晶状体植入联合前玻璃体切除手术在儿童先天性白内障治疗中的应用

Application of phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in treatment of children with congenital cataract

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