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目的 探讨外伤性白内障I期后房型人工晶体植入的效果。方法 对 1 6例外伤性白内障施行白内障现代囊外摘除及I期后房型人工晶体植入术进行回顾性分析。结果 所有患者随访 6～ 2 4个月 ,平均 1 3.6月 ,观察视力 :2例无增进 ,其余矫正视力 0 .1～ 0 .3者 9眼 ,0 .3～ 0 .8者 5眼。结论 外伤性白内障术中前囊应切除稍大 ,减少前囊上皮残留 ,术中应保持瞳孔散大 ,尽量彻底吸除皮质 ,术后积极控制炎症。而对于后发障的处置 ,常采用激光后囊切开术 ,一般均可取得较好的效果。外伤性白内障I期植入后房型人工晶体 ,术后大都获得了较好视力
Objective To investigate the effect of posterior chamber intraocular lens implantation in traumatic cataract Ⅰ. Methods The retrospective analysis of 16 cases of traumatic cataract treated by extracapsular cataract extraction and posterior chamber intraocular lens implantation was performed retrospectively. Results All the patients were followed up for 6 to 24 months with an average of 13.6 months. Visual acuity was observed in 2 cases without improvement. The remaining corrected visual acuities ranged from 0 .1 to 0. 3 in 9 eyes and in 0 .3 to 0. 8 eyes in 5 eyes. Conclusions In traumatic cataract operation, the anterior capsule should be resected slightly larger and the residual anterior capsule epithelium should be reduced. The mydriasis should be kept in operation and the cortex should be completely absorbed as far as possible. The inflammation should be controlled actively after operation. For the treatment of post-fault, often using laser posterior capsulotomy, generally can achieve better results. Traumatic cataract I implanted posterior chamber intraocular lens, most of them obtained better visual acuity