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通常,对角膜裂伤伴有晶体损伤及外伤性白内障者,主张分二步手术:即一期角膜裂伤修复及二期白内障摘出联合或不联合人工晶体植入术。可否一次完成此类手术尚有争议。作者等于1989年8月1日至1991年3月31日对7例角膜裂伤伴有晶体损伤或外伤性白内障的患者在进行角膜伤口修复的同时联合白内障囊外摘出及后房型人工晶体植入术,均取得了满意的效果。所制定的手术适应证为:(1)伤口无明显污染,当有全层角膜裂伤时尚可看清虹膜与晶体组织;(2)晶体前囊膜已破
Often, with corneal laceration associated with crystal damage and traumatic cataract, who advocate sub-two-step surgery: a corneal laceration repair and two cataract extraction with or without intraocular lens implantation. It is controversial whether such surgery can be completed in one go. The author was equal to August 1, 1989 to March 31, 1991 in 7 cases of corneal laceration associated with crystalline or traumatic cataract patients during corneal wound repair combined with extracapsular cataract extraction and posterior chamber intraocular lens implantation Surgery, have achieved satisfactory results. The established surgical indications are: (1) the wound no obvious pollution, when full-thickness corneal laceration can see the iris and crystal tissue; (2) the anterior lens capsule has been broken