儿童白内障手术后的屈光变化

Yiwen Cao, De-Jun Zhu
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引用次数: 0

摘要

目的了解1岁前白内障手术患儿的屈光状态。方法:对58例1岁前行双眼或单侧白内障手术的无晶状体患儿(108眼,单侧无晶状体8眼),年龄分别为3个月、6个月、9个月、12个月、18个月、24个月、30个月、36个月,进行屈光检查。男性45例(83眼),女性14例(26眼)。白内障手术时的平均年龄为5.28个月。结果:前3年平均屈光度降低5.007D。第一年平均减少2.550D,第二年平均减少1.654D,第三年平均减少0.873D,各年间差异均有统计学意义(P <0.01)。结论:无晶状体儿童屈光度在术后第一年下降最多。在头三年,每年的下降幅度比正常儿童要大。关键词:相投白内障;无晶状体;屈光变化
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The Refractive Changes In Children After Cataract Surgery
Objective To evaluate the refractive status in infants who underwent cataract surgery before one year old. Methods : Refraction examination was preformed in 58 aphakia children (108 eyes, unilateral aphakia 8 eyes), who underwent binocular or unilateral cataract surgery before one year old, in their age of 3 months, 6 months, 9 months, 12 months 18 months, 24 months, 30 months and 36 months. 45 male (83 eyes) and 14 female (26 eyes) were included. The mean age at the time of cataract surgery was 5.28 months. Results: The average reduction of refraction in first 3 years is 5.007D. The mean reduction in the first year is 2.550D, in the second year is 1.654D, and in the third year is 0.873D, the difftrences among each year were statistically significant (P <0.01). Conclusion: The refraction of aphakia children is reduced the most in the first year. The annual reductions are more than that in normal children in the first three years. Key words: Congenial Cataract; Aphakia; Refractive Change
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