Abstract：【Objective】 To observe the efficacy and safety of different surgical approaches in infantile cataract surgery. 【Methods】 A total of 86 cases (137 eyes) of pediatric cataract patients treated in our hospital from July 2015 to September 2019 were included in the study. The patients were divided into an anterior approach group (47 cases) and a posterior approach group (39 cases) according to the surgical approaches. The children were followed up for 3 years after discharge. The axial length and corneal curvature of the two groups were measured and compared preoperatively, 6 months postoperatively, 1 year postoperatively, and 3 years postoperatively. The best corrected visual acuity of one eye and both eyes at the last follow-up visit, as well as the incidence of complications, were also compared between the two groups. 【Results】There were no significant differences in the axial length and corneal curvature between the two groups preoperatively, 6 months postoperatively, 1 year postoperatively, and 3 years postoperatively (P>0.05). The axial lengths at 6 months postoperatively, 1 year postoperatively, and 3 years postoperatively were significantly longer than those preoperatively, and the corneal curvatures were significantly smaller than those preoperatively in both groups (P<0.05). There were no significant differences in the best corrected visual acuity of one eye and both eyes at the last follow-up visit between the two groups (P>0.05). There were no significant differences in the incidences of iris adhesions, intraocular lens displacement, and secondary cataracts between the two groups (P>0.05). The anterior approach group had significantly lower incidences of strabismus and nystagmus than the posterior approach group (P<0.05). 【Conclusion】 Both posterior and anterior approaches in infantile cataract surgery can effectively treat cataracts. The anterior approach can reduce postoperative complications and has better clinical application value.
葛吉林, 张永康, 李波. 不同手术入路治疗婴儿期白内障的疗效及安全性分析[J]. 医学临床研究, 2024, 41(8): 1168-1170.
GE Jilin, ZHANG Yongkang, LI Bo. Efficacy and Safety of Different Surgical Approaches in Infantile Cataract Surgery. JOURNAL OF CLINICAL RESEARCH, 2024, 41(8): 1168-1170.
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2024, Vol. 41 
