刁婷婷

[摘要] 目的 探讨使用人工晶状体巩膜缝线固定术矫正儿童玻璃体切割术后无晶状体眼的临床疗效。方法 选取该院2013年9月—2014年9月收治的玻璃体切割术后无晶状体眼患儿60例作为研究对象，对其临床资料进行回顾性分析。所有患儿均给予人工晶状体巩膜缝线固定术予以矫正，探讨其临床效果。 结果 人工晶状体植入手术均成功，术后7 d患眼前房出现程度不一的炎性反应，行局部抗炎后症状消失，无纤维素性渗出膜现象。6例发生低眼压，给予保守治疗后均恢复。随访后60例患儿最佳矫正视力均值为0.28±0.07，有28眼相较于术前有所提升，7眼出现下降现象，剩余25眼则与术前视力水平持平，约为（12.64±1.53）mmHg，差异无统计学意义（P>0.05）。未出现并发症。 结论 对儿童玻璃体切割术后无晶状体眼行人工晶状体巩膜缝线固定术治疗效果明显，对于多数患儿而言其视力均可得到提升，可有效矫正无晶状体眼，对弱视予以纠正，有临床推广价值。

[关键词] 人工晶状体巩膜缝线固定术；儿童玻璃体切割术；无晶状体眼；疗效

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）02（b）-0043-02

IOL scleral suture fixation correction of children without eyes after vitrectomy lens efficacy analysis

DIAO Tingting

Ophthalmology， First Affiliated Hospital of Medical School， Nanyang，HeNan， 473000 China

[Abstract] Objective To evaluate the clinical efficacy of the use of intraocular lens scleral suture fixation correction of children after vitrectomy aphakia. Methods Our hospital from September 2013 to September 2014 were treated after vitrectomy aphakic eye 60 cases of children as research subjects， clinical data were retrospectively analyzed. All patients were treated with intraocular lens scleral suture fixation to be corrected， to explore its clinical effects. Results IOL implantation were successful， 7d after suffering from varying degrees of anterior chamber inflammation occurs， the symptoms disappeared after row of local anti-inflammatory， non-fibrin exudation film phenomenon. 6 cases of low intraocular pressure， were recovered after conservative treatment given. After follow-up of 60 cases of children with the best corrected visual acuity mean 0.28 ± 0.07， there are 28 has improved compared to before surgery， seven declined phenomenon， the remaining 25 are the same level with preoperative visual acuity， about （12.64 ± 1.53） mmHg， comparing the difference was not statistically significant （P> 0.05）. Complications. Conclusion For children after vitrectomy without scleral phakic IOL row suture fixation treatment significantly， in terms of its vision for the majority of children can be raised， can effectively correct aphakia， amblyopia be corrected， have clinical value .

[Key words] IOL scleral suture fixation； Children vitrectomy； Aphakia； Efficacy

儿童致盲的主要原因为眼外伤，化脓性眼内炎则属于眼外伤的主要并发症。对于化脓性眼内炎患儿可采用玻璃体内药物注射与玻璃体切除联合疗法，效果较好，多数患儿可保留眼球，且视力也会出现程度不一的上升，但是也会导致患儿出现无晶状体眼现象[1]。由于儿童年纪较小，各项生理功能仍在不断发育，视功能也不例外，若出现无晶状体眼则易产生弱视症状，对于屈光不正现象虽然可采用角膜接触镜或者框架眼镜予以矫正，但是受到年龄的影响，大多数患儿无法严格佩戴[2]。随……