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目的探讨角膜孔伤合并外伤性白内障的手术治疗及临床疗效。方法回顾性分析我院收治的53例角膜穿通伤合并外伤性白内障的患者的临床资料。结果 53例(53眼)患者中23例行角巩膜伤口修补同时行Ⅰ期白内障囊外摘除联合人工晶状体植入术;30例行角巩膜伤口修补,5～14dⅡ期行白内障囊外摘除联合人工晶状体植入术。本组53眼术前视力光感～0.1,术后3个月矫正视力<0.05者5例(9.4%),0.05～0.3者10例(18.7%),0.3～0.6者28例(52.8%),>0.6者10例(18.7%)。术中术后无严重并发症发生。结论角膜穿孔伤伴外伤性白内障患者伤后应及早手术,选择适当的手术方式并适时植入人工晶状体,可取得满意的临床效果。
Objective To investigate the surgical treatment of corneal traumatic injury combined with traumatic cataract and its clinical effect. Methods The clinical data of 53 patients with penetrating corneal trauma and traumatic cataract admitted in our hospital were retrospectively analyzed. Results Of the 53 patients (53 eyes), 23 cases were treated with scleral wound repair and Ⅰ stage cataract extraction combined with intraocular lens implantation. 30 cases were treated with scleral wound repair and 5 ~ 14 days with extracapsular cataract extraction Lens implantation. There were 53 cases (53%) with visual acuity of 0.1 before surgery, 5 cases (9.4%) with corrected visual acuity <0.05 at 3 months, 10 cases (18.7%) with 0.05 ~ 0.3 and 28 cases (52.8% ,> 0.6 in 10 cases (18.7%). No serious postoperative complications occurred. Conclusion Corneal perforation injury trauma patients with traumatic cataract surgery should be as early as possible, select the appropriate surgical approach and timely implantation of intraocular lens, can achieve satisfactory clinical results.