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目的 探讨外伤性白内障摘除人工晶体植入的手术时机、手术方式及并发症的治疗。方法 10 2例(10 2眼 )均行后房型人工晶体植入 ,48眼伴虹膜粘连 ,12眼伴前房及晶体异物 ,4眼伴玻璃体腔磁性异物 ,2眼伴继发性青光眼 ,共 6 6眼在处理相关病变同时 期植入后房型人工晶体 ;3眼晶体脱位和 6眼后囊破裂范围大于一个象限患者行 期巩膜缝线固定人工晶体植入术 ;8眼严重角巩膜裂伤和 10眼明显玻璃体混浊 ,先处理相应病变 ,为减轻术后反应 ,均 期植入后房型人工晶体。结果 术后半年矫正视力 0 .1以下 2眼 (占 2 % ) ;0 .2～ 0 .5者 18眼(占 17.6 5 % ) ;0 .5～ 1.0者 6 6眼 (占 6 4.7% ) ;1.0以上者 16眼 (占 15 .7% )。结论 外伤性白内障联合人工晶体植入术能减少手术次数、早期恢复视力 ,是治疗外伤性白内障行之有效的方法
Objective To investigate the timing of surgery, surgical methods and complications in traumatic cataract extraction with intraocular lens implantation. Methods 102 cases (102 eyes) underwent posterior chamber intraocular lens implantation, 48 eyes with iris adhesion, 12 eyes with anterior chamber and crystalline foreign bodies, 4 eyes with vitreous cavity magnetic foreign bodies and 2 eyes with secondary glaucoma Sixty-six eyes were treated with posterior chamber intraocular lens implantation during the same period of treatment. Three eyes with dislocation of the lens and six posterior capsule rupture in more than one quadrant were performed scleral suture fixation with intraocular lens implantation. Eight eyes with severe scleral laceration And 10 eyes clear vitreous opacity, the first treatment of the corresponding lesion, in order to reduce the postoperative response, were implanted posterior chamber intraocular lens. Results The corrected visual acuity of half a year after operation was less than 0.1 in 2 eyes (2%), 0.2 to 0.5 eyes in 18 eyes (17.6%), 0.5 to 1.0 eyes (6 to 4.7%), ; More than 1.0 eyes 16 (15.7%). Conclusion Traumatic cataract combined with intraocular lens implantation can reduce the number of operations, early recovery of visual acuity, is an effective method of treatment of traumatic cataract