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本文分析了４２例５４眼２个月～１２岁儿童白内障再手术的基本原因、手术合并症及视力结果。首次手术３６例４７眼单纯白内障抽吸术，６例７眼白内障抽吸＋人工晶体植入术。术后后发性白内障为５５．５５％，ＩＯＬ夹持或／和偏位为９．２５％，瞳孔显著上移为７．４０％，视网膜脱离为３．７０％，皮质残留、术后眼内炎、角膜带状变性和继发性青光眼各占１．８５％。二次手术有后囊膜切开术为５０％、二期ＩＯＬ植入为２２．２％、ＩＯＬ调位或和复位术为９．３％、瞳孔成形术为７．４％、视网膜复位术为３．７％、眼内炎后段玻璃体切割术、残留皮质再抽吸、青光眼睫状体冷凝术和ＩＯＬ取出术各占１．８５％。４例患者经第３次手术，手术方式有瞳孔成形、后发性白内障切开、前段玻璃体切割＋瞳孔成形术和ＩＯＬ调位术。第１次与第２次手术间隔时间平均为１２．４４个月，其中７１．４３％于１年内二次手术。文章指出多次手术对视功能损害是不可忽视的。
This article analyzes the 42 cases of 54 eyes 2 months to 12 years old children with cataract re-operation of the basic causes of complications and visual acuity. Thirty-six patients (47 eyes) underwent primary cataract surgery and 6 eyes (7 eyes) underwent cataract extraction and intraocular lens implantation. Postoperative recurrent cataract was 55.55%, IOL pinch and / or offset was 9.25%, pupil was significantly up-shifted to 7.40%, retinal detachment was 3.70%, cortex remained, postoperative eye Endophthalmitis, corneal ribbon degeneration and secondary glaucoma each accounted for 1.85%. Secondary surgery had posterior capsulotomy at 50%, secondary IOL implantation at 22.2%, IOL adjustment and reduction at 9.3%, pupilloplasty at 7.4%, retinal reattachment Was 3.7%, posterior endophthalmitis vitrectomy, residual cortical re-suction, glaucoma ciliary body condensation and IOL removal accounted for 1.85%. Four patients underwent the third operation. The operation mode included pupil formation, posterior cataract incision, anterior vitrectomy + pupiloplasty and IOL adjustment. The average time between the first and second operation was 12.44 months, of which 71.43% were operated on within one year. The article points out that multiple operations on visual impairment can not be ignored.