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目的探讨双囊膜撕开和前部玻璃体切除手术对于儿童先天性白内障的临床疗效。方法对45例(52眼)患儿行白内障摘除手术,经双囊连续环形撕囊和前部玻璃体切除后,分别对不同年龄患儿行1、2期人工晶体植入。术后随访观察疗效及并发症。结果术后3个月患儿矫正视力高于0.5者占44.23%,0.3～0.5者占36.54%,低于0.3者13.46%,与治疗前比较有显著差异(P<0.05)。结论双囊膜撕开和前部玻璃体切除手术对于儿童先天性白内障有良好的临床疗效。
Objective To investigate the curative effect of double torn membrane tears and anterior vitrectomy on congenital cataract in children. Methods Forty-five children (52 eyes) underwent cataract extraction surgery. After continuous dural capsulorhexis and anterior vitrectomy, IOLs were implanted in patients of different ages. Postoperative follow-up observation of efficacy and complications. Results At 3 months after operation, the corrected visual acuity was higher than 0.5 in 44.23%, 0.3 ~ 0.5 in 36.54%, and 0.3% in 13.46%, which was significantly different from that before treatment (P <0.05). Conclusion Double torn membrane and anterior vitrectomy for children with congenital cataract has a good clinical effect.