我院1986～1993年为155例外伤性白内障患者Ⅰ期行人工晶体置入。适应症为:①年龄一般在5岁以上。②外伤后2～3个月以上,炎症反应已静止。③B超检查证实玻璃体无明显机化物,视网膜无脱离。④角膜有伤口,晶体前囊膜破裂、皮质脱入前房、晶体膨胀需立即行白内障手术。如果后囊膜完整或有小破孔,其他条件许可亦考虑Ⅰ期置入人工晶体。我们曾做2例患者,其中1例右眼铁片刺伤6天,视力眼前手动,角膜有4～5mm穿通伤口,对合良好,晶体皮质脱入前房,眼压接近3.8kPa。入院后急症行白内障囊外摘除术,术中见后囊完整,置入人工晶体,角膜伤口已不漏水,未做处 Our hospital from 1986 to 1993 for 155 cases of traumatic cataract patients with stage I implantation. Indications are: ① age generally above 5 years old. ② trauma 2 to 3 months or more, the inflammatory response has been static. ③ B-ultrasound confirmed vitreous no obvious organic matter, no retinal detachment. ④ corneal wounds, anterior capsule rupture, cortical detachment of the anterior chamber, the expansion of the lens required cataract surgery immediately. If the posterior capsular intact or small hole, other conditions permit also consider Ⅰ intraocular lens. We have done 2 patients, including 1 case of right eye iron stab wounds 6 days, visual acuity before hand, the cornea has 4 ~ 5mm through the wound, the well together, the crystalline cortex into the anterior chamber, intraocular pressure close to 3.8kPa. After admission, emergency cataract extracapsular cataract surgery, see the posterior capsule complete, intraocular lens implantation, corneal wound has not leaks, did not do