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目的 :探讨复杂眼外伤白内障人工晶体植入的手术疗效与时机。方法 :对 4 4例、4 6眼外伤性白内障行不同方式的晶体摘除术及不同类型人工晶体植入术 ,对比手术前后视力及处理术后并发症。结果 :术后 6个月随访裸眼视力≤ 0 .0 5者 8眼 ,占 17.39% ,0 .0 6～ 0 .1者 16眼 ,占 34 .78% ,0 .2～ 0 .5者 2 0眼 ,占4 3.4 8% ,0 .6～ 1.0者 2眼 ,占 4 .35 %。结论 :外伤性白内障行晶体摘除及人工晶体植入术安全有效 ,应选择不同类型的人工晶体 ,积极处理并发症是脱盲的有效方法。
Objective: To investigate the curative effect and timing of intraocular lens implantation in complicated ocular trauma. Methods: Forty four patients with traumatic cataract (46 eyes) underwent traumatic cataract extraction and different types of intraocular lens implantation. Visual acuity before and after operation and postoperative complications were compared. Results: Six months after operation, the visual acuity of the naked eye was less than 0.05 in 8 eyes, accounting for 17.39%, while those in 0. 06 ~ 0. 1 were 16 eyes (34.78%, 0.2-2.5) 0 eyes, accounting for 3.448%, 0.6 ~ 1.0 eyes, accounting for 4.35%. CONCLUSIONS: Cataract extraction and intraocular lens implantation are safe and effective in traumatic cataract. Different types of intraocular lenses should be selected. Active treatment of complications is an effective method for getting rid of blindness.