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目的探讨儿童眼外伤临床治疗和视力预后的特点和规律,以及预防保健措施。方法12例(12只眼)3~6岁儿童外伤性白内障摘除后,植入后房性人工晶体。其中1例行穿透性角膜移植术、外伤性白内障摘除、并植入后房性人工晶体。结果术后随访6~18个月(平均12个月),并进行弱视训练,视力恢复良好。同时,对儿童植入人工晶体的最小年龄、屈光度的选择,术中、术后并发症处理,弱视训练、视功能重建及保健进行讨论。结论早期植入后房性人工晶体可有效防治弱视,儿童眼外伤预防和治疗同等重要。
Objective To investigate the characteristics and rules of clinical treatment and visual acuity prognosis in children with ocular trauma and preventive measures of health care. Methods 12 cases (12 eyes) of 3 to 6 years old children with traumatic cataract extraction, implantation of posterior chamber intraocular lens. One case of penetrating keratoplasty, traumatic cataract extraction, and implantation of posterior chamber intraocular lens. Results The patients were followed up for 6 to 18 months (average 12 months), and amblyopia training was performed. The visual acuity recovered well. At the same time, the minimum age of children implanted intraocular lens, the choice of refraction, intraoperative and postoperative complications, amblyopia training, visual function reconstruction and health care are discussed. Conclusions Early implantation of atrial intraocular lens (IOL) can effectively prevent and treat amblyopia. Prevention and treatment of ocular trauma in children are equally important.