方法：对先天性白内障患者18例32眼采用超声乳化白内障吸除、环形撕除晶状体前后囊膜联合干性前部玻璃体切割术，其中10例16眼一期囊袋内植入折叠式人工晶状体。术后观察角膜、前房炎性反应和后囊膜透亮程度，随访6～24(平均15)mo。

结果：术后所有患者角膜清亮，前房反应轻微，大部分瞳孔圆形，视轴区清亮。3眼后囊膜切开区薄纱样混浊，4眼瞳孔轻度上移，3眼部分虹膜后粘连。

结论：干性前部玻璃体切割术可有效降低儿童后发性白内障发生率，维持视轴清亮，有助于患儿视功能恢复，是一种安全有效的手术方法。

METHODS: Anterior and posterior membrane curvilinear capsulorhexis combined with dry anterior vitrectomy disciplined in phacoemulsification procedures was performed in 18 congenital cataract cases on 32 eyes. Foldable intraocular lens were implanted into capsular bag in 10 cases(16 eyes). The reaction of cornea, anterior chamber inflammation and transparency of were observed, post-op lasting for 6-24mo(mean 15mo).

RESULTS: Transparent cornea and slightly inflammation of anterior chamber were observed in all eyes, while round pupils and transparency of optical axis were remained in most post-op cases. Meanwhile, slightly opacity of optical axis in 3 eyes, mildly pupil displacement in 4 eyes and posterior synechia of iris in 3 eyes were arisen post-operationally as well.

CONCLUSION: Phacoemulsification combined with double capsulorhexis and dry anterior vitrectomy could effectively decrease the incidence rate of PCO and essentially benefit the recovery of post-op visual function in congenital cataract cases.