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1、复合性角膜穿孔伤的联合手术处理第27卷第4期2005年4月眼外伤职业眼病杂志ChineseJournalofOcularTrauma&OccupationalEyeDiseaseVo1.27No.4Apr.2005向后囊移行增生,即使后囊l不完整也可沿玻璃体前界膜移行增生;但是,我f『J采用注吸套管反复注吸对虹膜的刺激以及难免有少许晶状体皮质的残留,致使术后反应严重,加重了后发障的形成.同时,晶状体上皮细胞及虹膜色素细胞增及纤维化,使化生的细胞沿后囊表面或玻璃体前界由周边向中心延伸,与炎性渗出物一
2、起参与后发障和后膜的形成,形成的后膜进一步可以使人工晶状体前移形成人[品状体瞳孔夹持,瞳孔变形等并发症同I/A系统吸出先天性白内障一样,应用超声乳化I/A系统吸出儿童外伤性白内障其众多优点使其术后并发症明显低1:用注吸套管的吸出法Clinicalanalysisofcomplicationsaftercataractsurgeryinchil-dren.ZH4/tG'lie,l翰一,GFeng,DINGXiang-qi.ela1.Zhou'kouEreHospita1.Zhoukou.th,nan4660
3、00.Chbu~Ak~ract:ObjectiveFoinvestigatethecomplicationsofdifferentsurgicalmelhodsindiffereuttX1)eofchihlren'Scataract.Methods126cases(148)'es)with('ougenitalcataractand112cases(112yes)withtraumaticcataractwereoperatedbyusingiITigationall(1aspirationofsimco
4、'Spipeandintrao('nlarlens(10I)implantationorusingin'igatim1andaspiratiol1ofpha~'oemulsifi('ationaimI()Linq)lantatioa.Thecompli—cationswereoI)~,el'sedafterlrgen.(179es)wereoperate~1byusingiixigationantiaspirationofphacoemnlsifi('ation.8lcases(8les)wereoper
5、atedbusingirrigationandaspirationofsimco'spipe.ResultsPostoperativel3.themaincomplications;hadprepupillau'membraneinIOLimplantation,IOLpupilar3capture,irregularpupilandaftercataractinchildren.TherateofcomplicationswaslowerillusingI/AofDhac0emulsicationtha
6、ninusingI/AofsimcoSpipeandincongenitalcataractthanintraumaticcataract.andtherewassignificantdifference.ConclusionThemaincausesofinfluen('ingvisionwerecomplicationsaftercataractsurgedinchildren.bntthecomplicationsweredecreasedbsuitablesurge~.h'Smoreimporla
7、atfortraumaticcataract,Keywords:child:cataract:surgeo;complication参考文献:[1]云波,施玉英儿童超声乳化白内障吸除联合折叠式人工晶状体植入术[J].中华眼科杂志,2001.37(2):111.114.12JPandeysk,RamJ,WernerL,eta1.Visualresultsandpostoperative—complicationsofcapsularbagandcilia~'suhUSfixationofposteriorc
8、hamberintra~.ularlensesinchidrenwithtraunlati(cataracts『J]Catara(1RefractSurg.1999.25(3):1576-1584[3]庞秀琴,于洁.王文伟.儿童白内障人工晶状体植入术的并发症[J]国外医学?眼科学分册,1999.23(1):53.56.[4]谢立信,董晓光.曹景.等.儿童外伤白内障摘出联合前段玻璃体切除的l临床观察[j]眼外伤职业眼病杂志,19
