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目的:探讨一种不用后囊膜作依托植入后房型人工晶体的改良的手术方法。方法:对8例(8只眼)因外伤、手术误伤及手术切除引起后囊膜有较大破孔、难以依托后房型人工晶体的病例采用前囊膜夹持方法植入后房型人工晶体。结果:术后随访3~24个月,矫正视力≥05者6只眼,占75%。无青光眼或视网膜脱离并发症。结论:前囊膜夹持方法植入后房型人工晶体简便安全,既有利于人工晶体的固定,又有利于阻止后发白内障的形成,适用于晶体前囊膜存在、后囊膜有较大破孔的病例植入后房型人工晶体
OBJECTIVE: To explore a modified surgical approach that does not require posterior capsular reconstruction for posterior chamber intraocular lens implantation. Methods: 8 cases (8 eyes) had posterior capsular rupture due to trauma, surgical injury and surgical resection, and it was difficult to implant posterior chamber intraocular lens by means of anterior capsule occlusion in the cases of posterior chamber intraocular lens. Results: All the patients were followed up for 3-24 months. Six eyes with corrected visual acuity ≥ 0.5 were accounted for 75%. No glaucoma or retinal detachment complications. CONCLUSION: Posterior chamber intraocular lens implantation is an easy and safe method for posterior chamber intraocular lens implantation. It is not only beneficial to the fixation of intraocular lens, but also to prevent the formation of posterior cataract. It is suitable for the existence of anterior lens capsule. Of cases implanted posterior chamber intraocular lens