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资料包括: 论文(3页3301字)
说明:
【摘要】 目的 探讨先天性白内障的综合治疗方法和疗效观察。方法 22例42眼先天性白内障分别行白内障超声乳化吸出联合人工晶体植入术,白内障超声乳化吸出联合后囊撕囊,白内障超声乳化吸出联合人工晶体植入及格栅状虹膜植入术,术后出现后发障行Nd: YAG激光治疗。患者随访12~36个月并观察视力情况。结果 22例42眼中,有20例(40眼)术后视力明显提高。10例18眼行Nd: YAG激光治疗后发障安全有效。结论 先天性白内障患儿应尽早手术,小于3.5岁患儿术后应长期配戴框架眼镜、弱视训练。婴幼儿行Nd:YAG激光治疗后发障方便易行,并发症少。
【关键词】 先天性白内障,治疗
Management of congenital cataracts
【Abstract】 Objective To discuss the compositive therapy and curative effect of congenital cataracts.Methods 22 cases (42 eyes) accepted different operations:phacoemulsification combined with IOL implantation,phacoemulsification combined with tearing posterior capsule,phacoemulsification combined with implanting IOL and grilleshaped artificial iris.Postoperative after-cataracts were treated through Nd:YAG laser.Follow up for 12~36 months and observe vision condition.Results Among 22 cases (42 eyes),20 cases (40 eyes) got evident improvement in vision.10 cases (18 eyes) caused aftercataracts that were treated safely and effectively by Nd:YAG laser.Conclusion Congenital cataracts should be operated as soon as possible,those babiesage below 3.5-year-old should wear frame spectacles and accept amblyopia training long term.Nd:YAG laser is safe and effective for infant and young childrens aftercataracts,and brings few complications.
【Key words】 congenital cataract;therapy
目录:
1 资料与方法
2 结果
3 讨论
参考文献:
1 Brich EE, Stager DR.The critical period for surgical treatment of dense congenital unilateral cataracts. Invest Ophthalmol Vissci,1996,37:1532-1538.
2 Daw NY. Critical periods and amblyopia. Arch Ophtlalmol,1998,116:502-505.