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目的 评价过去3a内我们所做儿童人工晶状体植入术的结果。方法 所有研究施行IOL植入术儿童的年龄为2～14a。随访6～30mo,平均12mo。分析术后视力和可能发生的并发症。结果 77%为外伤性白内障,23%为先天性白内障。术后视力0.3或0.3以上者在外伤性白内障与先天性白内障患眼分别为62.85%和15.38%,差异有显著性(P<0.01)。9眼(10%)术后前房有纤维素形成,37眼(41.1%)有后囊混浊,无其他严重并发症发生。结论 2a以上儿童IOL植入术后短期疗效良好,很少发生较重的并发症。
Objective To evaluate the results of our child intraocular lens implantation in the last 3a years. Methods All children undergoing IOL implantation were aged 2 to 14 years. Follow-up 6 ~ 30mo, an average of 12mo. Analysis of postoperative visual acuity and possible complications. Results 77% of traumatic cataract and 23% of congenital cataract. Postoperative visual acuity of 0.3 or more in patients with traumatic cataracts and congenital cataracts were 62.85% and 15.38%, the difference was significant (P <0.01). Nine eyes (10%) had anterior chamber cellulose formation, 37 (41.1%) posterior capsular opacities without other serious complications. Conclusions Short-term results after IOL implantation in children over 2a are good with few serious complications.