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目的研究儿童人工晶状体植入术后后囊浑浊的预防及处理。方法对68例85眼儿童白内障摘出术的同时,将后囊中央环形撕除、截除或玻璃体切除器切除一3~4mm之孔洞,植入后房型人工晶状体。结果随访1~38月,平均7.6月,78眼(91.2%)后囊中央有一透明区,视力0.5~1.2者54眼占63.5%。结论一期后囊截囊术,避免了儿童术后后囊浑浊的发生,保证了视轴区的透明,避免了再次手术。
Objective To study the prevention and treatment of posterior capsular opacification after intraocular lens implantation in children. Methods 68 cases of 85 children with cataract extraction surgery at the same time, the central posterior capsular ring torn, cut or vitrectomy removed a hole 3 ~ 4mm, implantation of posterior chamber intraocular lens. Results All patients were followed up for 1 ~ 38 months. On average, 7.6 eyes were seen in 78 eyes (91.2%) with a transparent area in the posterior capsule. The visual acuity was 0.5-1.2 in 54 eyes (63.5%). Conclusion Posterior capsule capsulotomy, to avoid the occurrence of posterior capsule opacity in children, to ensure the visualization of the transparent area, to avoid reoperation.