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目的探讨囊膜破裂的外伤性白内障摘出Ⅰ期人工晶状体植入术的临床疗效及安全性。方法术中利用粘弹剂配合玻璃体切除术，对３５眼囊膜已破裂的外伤性白内障，进行手术摘出及Ⅰ期人工晶状体植入术。结果术后矫正视力≥０．５者３０眼，占８５．７％；０．１～０．４者４眼，占１１．４３％；０．１以下者１眼，占２．８％．未见任何严重手术并发症发生。结论由于显微手术的开展，粘弹剂及玻璃体切除术的应用，复杂的囊膜破裂的外伤性白内障摘出Ⅰ期人工晶状体植入术已变得安全、有效。
Objective To investigate the clinical efficacy and safety of intraocular lens implantation in traumatic cataract with capsular rupture. Methods Intraoperative use of viscoelastic with vitrectomy, 35 eyes of the ruptured traumatic cataract capsule, surgical removal and intraocular lens implantation. Results Postoperative corrected visual acuity ≥ 0.5 in 30 eyes, accounting for 85.7%; 0.1 ~ 0.4 in 4 eyes, accounting for 11.43%; 0.1 below 1 eyes, accounting for 2.8%. No serious complications occurred. Conclusion Due to the development of microsurgery and the application of viscoelastic and vitrectomy, the complicated capsulotomy traumatic cataract extraction of IOL implantation has become safe and effective.