摘要：
Objective To compare the correction efficacy between wearing rigid gas permeable contact lens (RGPCL) and frame glasses in the infants with aphakia after congenital cataract surgery.Methods A prospective study.There were 72 eyes of 3 to 12-month-old 46 infants with aphakia after congenital cataract surgery.They were randomly divided into two groups.Group A,31 eyes of 20 infants,wore RGPCL,and group B,41 eyes of 26 infants,wore frame glasses.Visual function training was performed in all cases after surgery.The follow-up time was 12 months.The efficacy were compared between the two groups.Results The visual acuity of the two groups were significantly improved at 12 months after surgery compared with that at 1 month after surgery (Group A,Z =-6.791,P =0.000;Group B,Z =-7.427,P =0.000),and the visual acuity in group A was better than that in group B at 12 months after surgery (Z =-3.496,P =0.000).The remission rate of nystagmus in group A(54.55％)was higher than that in group B(25.00％),but the difference was not statistically significant (x2 =2.135,P =0.144).The rate of established binocular simultaneous vision in group A (55.56％) were higher than that in group B (21.43％),but the difference was not statistically significant(x2 =2.807,P =0.094).The differences in diopter and axial length changes were not statistically significant between the two groups (P ＞ 0.05).No ocular complications related to visual acuity occurred in both groups.Conclusion The correction efficacy of wearing RGPCL in infants with aphakia after congenital cataract surgery is better than that of frame glasses.RGPCL could effectively improve the visual acuity and facilitate reestablishment of visual function.%目的 比较硬性透气性角膜接触镜(RGPCL)与框架眼镜对婴儿先天性白内障术后无晶状体眼的矫正效果.方法 本研究为前瞻性研究.收集3～12月龄婴儿先天性白内障术后无晶状体眼46例(72只眼)随机分为两组,A组为佩戴RGPCL者,20例(31只眼);B组为佩戴框架眼镜者,26例(41只眼).术后进行视功能训练,随访12个月.比较两组效果.结果 两组患儿术后12个月视力较术后1个月视力明显提高(A组:Z =-6.791,P=0.000;B组:Z=-7.427,P=0.000),术后12个月视力A组较B组提高更显著,差异具有统计学意义(Z =-3.496,P=0.000).A组的眼球震颤缓解率为54.55％高于B组的25.00％,但两者之间差异无统计学意义(X2 =2.135,P=0.144).A组建立的双眼同时视者占55.56％高于B组的21.43％,但两者之间差异无统计学意义(x2=2.807,P=0.094).术后屈光度和眼轴长度两组之间的差异均无统计学意义(P＞0.05).两组均未见因佩戴而出现与视力相关的眼部并发症.结论 RGPCL用于矫正婴儿先天性白内障术后无晶状体眼效果优于框架眼镜,能更好地改善患儿视力,有助于视功能的重建.
