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目的评价白内障囊外摘出术中后囊破裂行前段玻璃体切割联合Ⅰ期后房型人工晶状体植入的手术效果。方法对１４８０例白内障囊外摘出联合后房型人工晶状体植入术中４９例后囊破裂，行前段玻璃体切割联合Ⅰ期后房型人工晶状体植入的手术技巧、术后并发症和术后视力等进行分析。结果手术后囊破裂率为３．３％，７０％患者人工晶状体植入囊袋内，３０％患者为睫状沟，８９．９％患者出院时裸眼视力≥０．５。结论白内障囊外摘出术中后囊破裂，行前段玻璃体切割联合Ⅰ期后房型人工晶状体植入是安全有效的。
Objective To evaluate the effect of anterior vitrectomy combined with posterior chamber intraocular lens implantation in posterior capsule rupture in extracapsular cataract extraction. Methods Forty-nine cases of posterior capsule rupture in 1480 cataract extracapsular cataract extraction combined with posterior chamber intraocular lens implantation were treated by anterior vitrectomy combined with stage I posterior chamber intraocular lens implantation, postoperative complications and postoperative visual acuity analysis. Results The posterior capsular rupture rate was 3.3%. Intraocular lens implantation was performed in 70% of the capsular sacs. The ciliary sulcus was found in 30% of the patients and the uncorrected visual acuity of ≥0.5 in 89.9% of the patients. Conclusions Posterior capsular rupture during extracapsular cataract extraction is safe and effective with anterior vitrectomy combined with posterior chamber intraocular lens implantation.