白内障英文__培训课件.ppt

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* Intracapsular cataract extraction The incision is bigger than ECCE, so the corneal astigmatism is high. The complications are more than that of ECCE * Visual correction fater cataract operation After cataract surgery, the aphakia is in a state of high hyperopia (+10~ +12 diopters) By intraocular lens: it is the most effective method for correction of aphakia By contact lens: the method is less used because of more complications and using process more trouble By glasses: binocular aphakia patient * congnital cataract Definition: congenital cataract is a result of lens growing and developing disturbance in the process of fetal development. Causes: Endogenous:chromosome with heredity. Exogenous:by mother’s or fetal systemic disorder. EYE No.26 * Clinical findings It commonly is bilateral, static. A few develop continuously after birth. It may be classified according to the site and the shape of lens opacity. Anterior polar cataract Posterior cataract Perinuclear cataract Nuclear cataract Total cataract, and so on * treatment Whether or not affect with the vision not Observed affect Surgery in time EYE No.31 * Opportunity of operation: the earlier the operation is done, the greater the chance to get good vision becomes. The surgery may be done some weeks after birth. It should be done generally in baby with age of 3~6 months. But the IOL implantation must do after 3 years old. EYE No.32 * Treatment purpose: Reserve vision Prevent amblyopia Promote development of fusion function Surgery method Extracapsular cataract extraction Cataract suction IOL implantation after the suction’s patient is 3 years old * The correction: By glasses:suitable to binocular aphakia with elder age. It is simple and convenient, easy to adjust and replace. By contact lens:suitable monocular aphakia in children. But it is troublesome to take off, and so on. By IOL:After 3 years,the patient can do the implantation to obtain better vision. Amblyopia should be treated actively and timely. * Tr

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