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目的:探讨儿童白内障手术,特别是外伤性白内障手术的并发症及处理。方法:对94例(98只眼)先天性、外伤性、后发性白内障分别行不同术式的手术,对术后视力、术中和术后并发症及处理进行分析。结果:术后视力比术前提高者90只眼,随访37只眼,视力提高29只眼。术中主要并发症为后囊破裂和玻璃体脱出。术后主要并发症有后囊混浊(PCO)、前房炎症反应等。结论:白内障摘除术是处理儿童白内障的有效手段。儿童白内障术后并发症与成人相比有其特殊性。适时恰当的处理,仍然可以获得良好的效果
Objective: To investigate the complications and management of cataract surgery in children, especially traumatic cataract surgery. Methods: 94 cases (98 eyes) of congenital, traumatic, recurrent cataract surgery were performed under different surgical procedures, postoperative visual acuity, intraoperative and postoperative complications and treatment were analyzed. Results: The postoperative visual acuity was higher than preoperative 90 eyes, followed up 37 eyes, 29 eyes improved vision. The main complications of surgery for posterior capsule rupture and vitreous prolapse. The main complications after posterior capsule opacification (PCO), anterior chamber inflammation and so on. Conclusion: Cataract extraction is an effective method to treat cataract in children. Complications of childhood cataract compared with adults have their particularity. Properly handled, still can get good results