儿童人工晶状体瞳孔夹持合并后发性白内障的手术治疗

摘要

目的 探讨儿童人工晶状体瞳孔夹持合并后发性白内障的治疗方法及疗效.方法 对26例(26只眼)儿童人工晶状体植入术后人工晶状体瞳孔夹持合并后发性白内障进行超声截囊仪进行后囊切开、前部玻璃体切除、人工晶状体光学区后囊嵌顿术.观察手术并发症、术后眼部情况.结果 26只眼后发性白内障切除和人工晶状体光学部后囊膜夹持复位成功,术后患者随访期间均未出现视轴混浊,人工晶状体位置无偏离,位置稳定,仅出现短期的炎症反应,无其他严重并发症及晶状体后囊膜切开区再次混浊等并发症发生,术后视力有不同程度的改善.结论 儿童人工晶状体瞳孔夹持合并后发性白内障进行手术治疗切除后发性白内障及人工晶状体复位是安全、有效的办法.%Objective To investigate the optimal method to manage intraocular lens ( IOL ) pupillary capture accompanied posterior capsule opacification after cataract extraction and IOL implantation in childhood. Methods 26 eyes of IOL pupillary capture accompanied posterior capsule opacification were treated through posterior capsulotomy used with ultrasound capsulotcmy instrument, anterior vitrectomy and optic capture of the IOL reposition. Intraoperative and postoperative complications were observed. Results Posterior capsulotomy and the IOL reposition were successfully performed in all 26 eyes. No eyes with optic capture were found optic axis opaque. The location of posterior in IOL was exact. No serious complications were found, there was only temporary inflammatory reaction. The visual acuity in all cases w as improved in different extent. Conclusion In childhood the ideal therapy for posterior capsule opacification with intraocular lens pupil capture was secondary posterior capsulotomy and intraocular lens reposition. It is safe and effective.