PDF(Pubmed)
Abstract：
Congenital cataract is among the main causes of treatable vision loss in childhood. The first weeks and months of life are a critical time for the development of vision. Therefore, early cataract surgery and effective multifaceted treatment of the resulting aphakia in the early stages of life are of great value for the management of vision development. Among the treatment models, contact lenses (CL) have an important place in infancy and early childhood up to the age of 2 years. Although good visual gains were not considered very likely, especially in unilateral aphakia, important steps have been taken in the treatment of pediatric aphakia thanks to the surgical techniques developed over time and the increasing experience with optical correction systems, especially CLs. This review examines current developments in the types of CL used in pediatric aphakia, their application features, comparison with other optical systems, the features of amblyopia treatment in the presence of CL, and the results obtained with family compliance to CL wear and occlusion therapy in the light of existing studies.
摘要：
先天性白内障是儿童可治疗视力丧失的主要原因之一。生命的最初几周和几个月是视力发展的关键时期。因此,早期白内障手术和对生命早期无晶状体眼的有效多方面治疗对于视力发育的管理具有重要价值。在治疗模式中，隐形眼镜（CL）在婴儿期和2岁以下的早期儿童中占有重要地位。虽然良好的视觉增益被认为不太可能，尤其是在单侧无晶状体中，由于随着时间的推移和光学矫正系统的经验的增加，在治疗小儿无晶状体眼方面已经采取了重要步骤，尤其是CLS。这篇综述探讨了儿科无晶状体眼使用的CL类型的当前发展。他们的应用特点，与其他光学系统相比，在存在CL的情况下弱视治疗的特征，以及根据现有研究，家庭对CL佩戴和闭塞治疗的依从性获得的结果。
