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[摘要]
目的：探讨后囊膜撕开联合前段玻璃体切除治疗先天性白内障的临床疗效。
方法：对40例48眼先天性白内障患者行超声乳化吸除术，并行后囊膜撕开联合前段玻璃体切除，观察术前、术后视力及并发症。
结果：患者48眼中有5眼(10%)在术后3mo～1a出现后发性白内障，术后常见并发症有：角膜水肿、前段葡萄膜炎反应、后发性白内障。
结论：后囊膜撕开联合前段玻璃体切除能有效降低后发性白内障出现，是一种安全有效的手术方式。
[Key word]
[Abstract]
AIM: To study the effect of modified posterior capsulorhexis with anterior vitrectomy in congenital cataract.
METHODS: Forty cases(48 eyes)underwent modified phacoemulsification, the best-corrected visual acuity and postoperative complications were observed.
RESULTS: Totally 5 eyes occurred posterior capsule opacification(PCO)in 48 eyes after 3 months to 1 year followed-up. The postoperative complications included PCO, corneal edema and uveitis.
CONCLUSION:Posterior capsulorhexis with anterior vitrectomy in congenital cataract seems to be an safe and effective method to decrease the incidence rate of after-cataract.
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