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目的采用晶体、玻璃体切除术联合带虹膜人工晶体植入术治疗眼外伤后虹膜缺损、屈光间质混浊、畏光及屈光不正。方法使用美国Storz公司生产的玻璃体切割系统及德国Morcher公司生产的带虹膜人工晶体,对15例(15眼)外伤后虹膜大部分缺损的患者施行联合术。结果术后较术前视力明显提高(P<0.05),有明显性差异,且畏光症状缓解。结论外伤性虹膜缺损、屈光间质混浊,行晶体玻璃体切除,联合带虹膜人工晶体植入是一种新的治疗方法,有一定的疗效,其远期效果有待观察。
Objective To observe the effects of intraocular lens (IOL) and vitrectomy combined with IOL implantation on iris defect, opacity, photophobia and refractive error after ocular trauma. Methods A total of 15 cases (15 eyes) with iris defect after trauma were treated with vitrectomy system from Storz Company of America and iris lens made by Morcher Company in Germany. Results The postoperative visual acuity was significantly higher than that before operation (P <0.05), with significant difference, and photophobia symptoms were relieved. Conclusions Traumatic iris defect, refractive mellitus and opacity, vitrectomy with lens and iris lens implantation combined with IOL are a new treatment method with certain curative effect. Its long-term effect needs to be observed.