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目的探讨成人外伤性白内障的最佳手术时机。方法对87例87眼外伤性白内障患者,根据其晶状体是否破裂、是否有葡萄膜反应、虹膜损伤程度等采取一期人工晶体植入或二期人工晶状体植入。结果患者术后矫正视力≥0.3的超过65.2%,≥1.2的患者有2人,达到2.30%;1年后患者绝大多数视力≥0.3,达到79.31%,另外,有9人视力回复到≥1.2。结论应根据不同患者采取相应手术时机进行手术,以取得最佳的治疗效果。
Objective To explore the best timing of surgery for adult traumatic cataract. Methods One hundred and eighty 87 eyes of traumatic cataract patients underwent one-stage IOL implantation or two-stage IOL implantation according to whether the lens was ruptured, whether there was uveal reaction, degree of iris injury or not. Results The postoperative corrected visual acuity ≥0.3 of 65.2%, ≥1.2 of 2 patients, up to 2.30%; 1 year after the vast majority of patients with visual acuity ≥0.3, reaching 79.31%, in addition, 9 eyes returned to ≥1.2 . Conclusion According to different patients to take the appropriate timing of surgery for surgery, in order to obtain the best therapeutic effect.