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目的:分析儿童先天性白内障手术后非计划手术的临床特点。方法:回顾性研究2006年1月至2015年12月益都中心医院儿童先天性白内障手术后非计划手术者46例(55眼)的临床资料。分析非计划手术的原因及手术方式。术后随访至少3年。结果:非计划手术原因包括后发性白内障30例(34眼)，行后囊切开术；继发性青光眼8例(9眼)，行小梁切除术；斜视8例(12眼)，行斜视矫正术；瞳孔膜闭8例(9眼)，行瞳孔成形术；人工晶状体脱位2例(2眼)，行人工晶状体复位术或悬吊术。结论:先天性白内障术后非计划手术的主要原因为后发性白内障等，合理的手术方式可为患儿视力恢复提供条件。“,”Objective:To analyze the clinical characteristics of unplaned operation after congenital cataract surgery in children.Methods:The clinical data of 55 eyes of 46 cases of congenital cataract from Jan. 2006 to Dec. 2015 in Yidu Central Hospital were analyzed retrospectively. The causes and methods of unplanned operation were analyzed. The follow-up time was at least 3 years.Results:The causes of unplaned operation included 34 eyes of 30 cases with posterior capsule opacification and underwent posterior capsulectomy, 9 eyes of 8 cases with secondary glaucoma underwent trabeculotomy, 12 eyes of 8 cases with strabismus underwent strabismus correction, 9 eyes of 8 cases with occlusion of pupil underwent pupilloplasty, and 2 eyes of 2 cases with IOL dislocation underwent IOL reduction or suspension.Conclusion:The main cause of unplanned operation after congenital cataract surgery is posterior capsular opacity. Reasonable operation method can provide conditions for visual recovery of children.