方法：对我院收治11例21眼先天性白内障患儿采用双撕囊联合白内障超声乳化手术联合人工晶状体(IOL)植入术联合前部玻璃体切除术治疗白内障，术后定期随访并进行配镜及弱势训练，重建患儿视觉，随访1a。

结果：所有先天性白内障患儿经过治疗，视力均不同程度提高。发生后发性白内障3眼(14.3%)； 术后1wk 9眼(42.9%)出现纤维素性渗出； 随诊6mo后失访率达45.5%。

结论：采用双撕囊联合白内障超声乳化手术联合IOL植入术联合前部玻璃体切除术治疗先天性白内障可以有效预防后发性白内障，为患儿提供更大的视觉恢复空间。但术后复诊和视觉重建是先天性白内障治疗不容忽视的难点。

METHODS:Phacomulsification and intraocular lens(IOL)implantation combined the technique of anterior and posterior continuous curvilinear capsulorhexis and the anterior vitrectomy were performed on the 21 consecutive eyes of 11 children who had congenital cataract. The postoperative follow-up was 6 months to 1 year, and at the same time all patients accepted amblyopic treatment so as to rehabilitate the visual acuity.

RESULTS: The visual acuity of all patients with congenital cataract was improved with different degrees after treatment.Fibrinous exudative was seen in 9 eyes(42.9%)1 week after operations. Posterior capsular opacification was found in three eyes(14.3%); the percentage of patients who failed to follow-up 6 months after operations was 45.5%.

CONCLUSION: The surgical skill of congenital cataract has its own characteristic which is different from surgeries for other kinds of cataract, the technique of phacomulsification and IOL implantation combined the double continuous curvilinear capsulorhexis and the anterior vitrectomy is effective for prevention of the posterior capsule opacification, and provides more opportunities for patients to get optic rehabilitation. Therefore, successful management of congenital cataract surgery, the duration of postoperative supervision and the training of optical rehabilitation are essential for the treatment of congenital cataract, both doctors and parents should be aware of this point.