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目的:探讨联合手术治疗外伤性白内障的疗效。方法:角巩膜裂伤清创缝合、白内障摘除、人工晶状体植入、玻璃体切除联合手术治疗外伤性白内障73例(73眼)。结果:患者73例中,眼球钝挫伤27例,穿通伤46例,术后3mo矫正视力<0.05者5例(7%),0.05～0.3者17例(23%),>0.3者49例(67%),手术脱盲率为93%,2例(3%)眼球萎缩,平均随访时间7.8(3～15)mo。结论:掌握好联合手术的适应证,合理设计手术方式,巧妙地处理并发症,可以最大限度恢复患者的最佳视力。
Objective: To investigate the effect of combined surgery on traumatic cataract. Methods: Seventy eyes (73 eyes) with traumatic cataract were treated by debridement and scleral buckling, cataract extraction, intraocular lens implantation and vitrectomy combined with surgery. Results: Of the 73 patients, there were 27 cases of blunt traumatic eye injury, 46 cases of penetrating injury, 5 cases (7%) corrected visual acuity <0.05 after 3 months, 17 cases (23%) with 0.05 ~ 0.3, 49 cases 67%). The rate of surgical blindness was 93%. Eye atrophy was found in 2 cases (3%) with an average follow-up time of 7.8 (3-15) months. Conclusion: Good grasp of the indications of joint surgery, rational design of surgical methods, cleverly handle complications, can maximize the recovery of patients with the best vision.