【摘要】 目的探讨先天性白内障术式对视觉发育的影响。方法对59例(109眼)先天性白内障行不同术式治疗,分为A组先天性白内障吸出联合后囊膜截囊术20例(36眼),B组先天性白内障吸出联合前段玻璃体切割术39例(73眼),进行回顾性分析,比较两种术式术后并发症并对其中部分病例长期观察随访评价疗效。结果经统计学处理表明两种先天性白内障摘除术后对视觉发育的影响,B组较A组更优越,(χ2=42.81,P<0.01)。结论先天性白内障摘除联合前段玻璃体切割术并发症少、疗效稳定,是治疗先天性白内障、促进患儿早期视觉发育较理想的手术方式。更多还原

【Abstract】 Objective To investigate the influence of the surgery selection of congenital cataract on the development of vision Methods 59 cases( 109 eyes) were prepared to have the surgery of congenital cataract were divided into two groups. 20 cases( 36 eyes) in group A had the congenital cataract extraction combined with posterior capsulotomy. 39 cases( 73 eyes) in group B had the congenital cataract extraction combined with anterior vitrectomy. The postoperative complications of the two groups were compared and some cases have a long-term follow-up observations to evaluate the therapeutic effect. Results The visual acuity of group B was obviously better than group A( χ2= 42.81, P < 0.01). Conclusion Congenital cataract extraction combined with anterior vitrectomy which have a stable therapeutic and is an ideal method to treat congenital cataract.更多还原