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目的 探讨虹膜损伤并人工晶状体植入在基层医院应用的可行性及价值。方法 显微镜下一期或二期手术修复损伤虹膜联合人工晶状体植入。结果 5 7例 5 7眼术后随访 5月～ 4年 ,所有手术修复的虹膜瞳孔均较术前明显复圆。其中 9眼术前有复视 ,术后复视均消失。 44眼植入人工晶状体者视力均有不同程度提高。结论 基层医院可以完成这类难度较大的手术 ,在修复虹膜损伤的同时植入人工晶状体有积极的意义。
Objective To investigate the feasibility and value of iris injury and intraocular lens implantation in primary hospital. Methods One or two stages of microsurgical repair Iris implanted intraocular lens implantation. Results Fifty-seven patients (57 eyes) were followed up for 5 months to 4 years. All the iris pupils were repaired significantly compared with that before operation. Among them, 9 eyes had diplopia before operation, and diplopia disappeared after operation. 44 eyes implanted intraocular lens visual acuity increased to varying degrees. Conclusions The primary hospital can accomplish such difficult operation and has the positive meaning of repairing the iris injury while implanting the intraocular lens.