Sunday, February 24, 2008
Congenital, traumatic cataract surgery What is the difference between the timing?
Congenital cataract surgery should, in principle, as soon as possible, After light stimulation in the outside world, promote the development of retinal macular function. Should strive to give birth after 2 months of operation, and by no more than three to four-year-old, once found vision surgery immediately below 0.2 should be. If more than six-year-old surgery, Often difficult recovery from amblyopia. But there is still not entirely certain vision of cataract, surgery may be postponed to 5 ~ 6 years old. Can surgery for congenital cataract intraocular lens implantation when under specific circumstances. Children intraocular lens implantation surgery to vision correction and prevent amblyopia, restore function and integration of stereo vision. Therefore, should carefully check before surgery visual function, the visual function dysplasia in patients with early surgical treatment. However, the only intraocular lens implantation in children correction of aphakia a way, not the only way, 2 to 3 children under the age of wearing contact lenses is no crystal eyes still the preferred method. Intraocular lens implantation because no regulatory function of eye troubles, although after surgery was much better eyesight, but the myopia of (reading vision) is still poor. This period for the development of the visual system is extremely damaging to the children to go to school a greater impact on patients. Traumatic cataract lens cortex in the absorption process can be induced proliferative capsular opacity, and cortex caused by inflammatory response may affect the retina and optic nerve, and iris neovascularization adhesions can cause secondary glaucoma to the detriment of visual function, which should be in a timely manner after injury treatment to prevent late complications. Post-traumatic lens opacity limitations only, not to rush to do cataract surgery, it difficult to determine extent of injury can be further observation. Crystal cortex has all turbidity, or cortex prominent free to the anterior chamber, an operation as soon as possible and as far as possible, completely eliminate Crystal cortex. All post-traumatic lens opacity, and have not entered into the anterior chamber cortex, should be controlled inflammatory response, to be traumatic iridocyclitis the purposes of stability after cataract surgery.
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