手术治疗先天性瞳孔残膜

摘要

Objective:To explore surgical treatment for persistent pupillary membrane (PPM) and its effect.Methods:The medical records and postoperative follow-up data for 12 consecutive patients (16 eyes),who were submitted to PPM resection in Xiangya Hospital,Central South University from March 2011 to August 2016,were retrospectively reviewed.Results:Among 12 consecutive patients (16 eyes),8 patients (12 eyes) with PPM and clear lens were submitted to simply PPM resection,and 4 patients (4 eyes) with PPM and cataract were submitted to PPM resection combined with cataract surgery.In the patients who received the combined operation,phacoaspiration with or without intraocular lens implantation was performed in 3 eyes or in 1 eye.In the early stage after surgery,1 eye was complicated with a transient high intraocular pressure.In the patients who were submitted to PPM resection,the final follow-up visual acuity in 7 patients (11 eyes) were improved except 1 patient (1 eye).After the PPM resection combined with cataract surgery,the follow-up visual acuity was improved in 2 patients (2 eyes) but not in the other 2 patients (2 eyes).Conclusion:The surgical treatment is effect on congenital pupil residual membrane.Serious membrane pupil residual membrane should be surgically treated at early stage,and amblyopia treatment after the surgery is important.%目的:探讨先天性瞳孔残膜的手术治疗及效果.方法:回顾性分析中南大学湘雅医院眼科201 1年3月至2016年8月收治的接受手术治疗的先天性瞳孔残膜患者12例(16只眼)资料及随访情况.结果:8例(12只眼)不合并白内障患者接受瞳孔残膜单纯切除术,4例(4只眼)合并白内障患者接受瞳孔残膜切除联合白内障手术,接受联合手术的患眼中3眼植入人工晶体,1眼未植人人工晶体.术后早期1例1只眼出现一过性高眼压.随访结果显示:接受瞳孔残膜单纯切除术者中7例(11只眼)视力有提高,1例(1只眼)单眼瞳孔残膜患者视力无提高.接受联合手术的患者中2例(2只眼)视力有提高,2例(2只眼)视力无改善.结论:手术治疗膜状先天性瞳孔残膜的手术可取得一定的效果,严重的膜状瞳孔残膜应早期手术治疗,且术后应重视弱视治疗.