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目的观察超声乳化、后囊截开联合前段玻璃体切割术治疗先天性白内障的效果。方法对先天性白内障患者50例(93只眼)进行回顾性研究,2002年至2005年31例(58只眼)先天性白内障的病例实行超乳(或I/A抽吸)白内障联合前段玻璃体切割术治疗,2000年至2002年19例(35只眼)未行后囊膜切开及前段玻璃体切割术。对其随访观察,平均随访时间为30月。结果后发障的发生情况,观察组3眼(7%),对照组9眼(26%),两组对比差异具有显著性。结论白内障超乳(或I/A抽吸)联合前段玻璃体切割术对先天性白内障的治疗,能够有效的预防术后后发障的形成。
Objective To observe the effect of phacoemulsification and posterior capsulotomy combined with anterior vitrectomy on congenital cataract. Methods A retrospective study was performed on 50 cases (93 eyes) of congenital cataract. 31 cases (58 eyes) of congenital cataract from 2002 to 2005 were treated with phacoemulsification (or I / A aspiration) combined with anterior vitreous Incision, from 2000 to 2002 in 19 cases (35 eyes) did not underwent posterior capsulotomy and anterior vitrectomy. Follow-up observation, the average follow-up time was 30 months. Results After the onset of symptoms, the observation group 3 (7%), the control group 9 (26%), the difference between the two groups was significant. Conclusion The treatment of congenital cataract with phacoemulsification (or I / A aspiration) combined with anterior vitrectomy can effectively prevent the formation of post-operative complications.