| [Objectives] Capsule incarcerated surgery evaluation IOL clinical effect of treatmentof pediatric cataract patients.[Methord] Collected in our hospital from January2009to January2012underwentcataract surgery in pediatric patients (age3-14years)30patients (42), were randomlydivided into two groups of A,B:A group of phacoemulsification cataract extraction+posterior capsular circular capsulorhexis+the front glass cut+implantation of IOL sac;B group of phacoemulsification cataract removal+capsule ring capsulorhexis+thefront vitrectomy+IOL optics unit capsule incarcerated.Record preoperative andpostoperative visual acuity, intraocular pressure, slit lamp microscope cornea, anteriorchamber, iris, IOL position, and postoperative complications. Followed up for6-12months, the comparative analysis of two surgical way of efficacy in pediatric cataractpatients.[Results] Two surgical procedures are completed according to the predeterminedsurgical approach.1.Vision: best corrected visual acuity compared with preoperative increase (P <0.01),A, B two sets of visual acuity improved was no statistically significant difference (P>0.05).2.A B group are varying degrees of opacity in optic axis, the two groups comparedstatistically significant difference (P <0.05).3.The IOL position: A group of IOL position skew11(52.4%), patients withperipheral lens cortex hyperplasia caused by artificial crystal holder B group artificialcrystal position deviation5(23.8%), two groups of Statistics learning differences (P<0.05)4.Postoperative complications: postoperative showed varying degrees of corneal edema, anterior chamber exudation, posterior synechia And other inflammatoryreaction, between two groups was no significant difference (P>0.05)[Conclusion] Phacoemulsification and posterior capsulotomy circular capsulorhexis,the front glass cut capsule incarcerated in the treatment of pediatric cataract surgeryIOL optics unit enables a more stable position of the IOL, reduce the incidence ofpostoperative cataract rate. |
PDF Full Text Request