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回顾性分析了白内障囊外摘除或晶体切割的先天性白内障47例和外伤性白内障26例。术后57.14%双眼先天性白内障,31.58%单眼先天性白内障和57.69%外伤性白内障远期矫正视力≥0.1,前两者之间差异有极显著性。晶体摘除术组和晶体切割术组的远期矫正视力之间差异无显著性。主张儿童白内障首选囊外摘除术或角膜缘入路的晶体切割术,同时行Ⅰ期后囊切开和前段玻璃体切割术。强调早期诊断和适时手术,并需要充分的屈光矫正和及时、严格和持续足够时间的弱视治疗。
Forty-seven cases of congenital cataracts and 26 cases of traumatic cataract were analyzed retrospectively. Postoperative 57.14% binocular congenital cataracts, 31.58% monocular congenital cataracts and 57.69% traumatic cataract long-term corrected visual acuity ≥0.1, the difference between the former two was extremely significant. There was no significant difference in long-term corrected visual acuity between the group of crystal excision and the group of crystal incision. Children advocated cataract extracapsular excision or limbal approach to the crystal incision, at the same time Ⅰ posterior capsule incision and anterior vitrectomy. Emphasize early diagnosis and timely surgery and require adequate refractive correction and amblyopia treatment that is timely, severe, and sustained enough.