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目的 探讨眼外伤後手术时机选择与术後视功能恢复和并发症出现的关系。方法 回顾调查46例患儿外伤性白内障後不同时间行白内障摘除及人工晶体(IOL)植入术,随访观察6个月以内视力变化和并发症情况。结果 在外伤1周手术时,患眼视力提高率70.9％,较其它组提高明显(P<0.05)。但在该期手术出现角膜混浊(70.6％)、後囊混浊(60.0％)、前房出血(35.3％)等并发症 结论 单纯外伤性白内障在早期(1周以内)控制患者炎症反应同时行白内障摘除及IOL植入,以期视功能良好恢复。
Objective To investigate the relationship between the timing of surgery and the recovery of visual function and the occurrence of complications after ocular trauma. Methods A total of 46 children with traumatic cataract were retrospectively studied for cataract extraction and intraocular lens implantation at different time points. Visual acuity and complications within 6 months were observed. Results One week after trauma surgery, the rate of improvement of visual acuity was 70.9%, which was significantly higher than other groups (P <0.05). However, there was corneal opacity (70.6%), posterior capsule opacity (60.0%) and anterior chamber hemorrhage (35.3%) during the operation. Conclusions The traumatic cataracts in the early stage (within 1 week) Excision and IOL implantation, with a view to good recovery function.