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目的 :考察外伤眼行玻璃体和晶体切除手术后二期前房型人工晶体植入术的临床疗效。方法 :采用巩膜隧道切口对 18例眼外伤玻切手术后的无晶体眼行二期前房型人工晶状体植入术 ,术后随访时间 3～ 12个月。结果 :巩膜隧道切口确保了二期前房型人工晶体植入的手术过程平稳 ;全部 (10 0 % )患者术后裸眼视力均达到或接近术前的最佳矫正视力。结论 :采用自闭性的巩膜隧道切口对玻切术后的无晶体眼行二期前房型人工晶体植入 ,手术安全可靠 ,效果良好。
Objective: To investigate the clinical efficacy of two anterior chamber intraocular lens implantation after vitrectomy and vitrectomy in traumatic eyes. Methods: Forty-eight cases of ocular trauma with vitrectomy under scleral tunnel incision were treated with two-stage anterior chamber intraocular lens implantation. The follow-up time ranged from 3 to 12 months. Results: The scleral tunnel incision made the operation of second-stage anterior chamber intraocular lens implantation stable. All patients (100%) had uncorrected visual acuity at or near preoperative best corrected visual acuity. CONCLUSIONS: The use of autosurgical scleral tunnel incision for posterior chamber intraocular lens implantation in aphakic eyes after vitrectomy is safe and reliable with good results.