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目的 探讨治疗外伤性白内障更有效方法。方法 对外伤性白内障伴虹膜缺损、移位、不可逆散瞳及后囊破裂的患者施行非缝线固定的人工晶体植入术 ,同时对伴球内异物及青光眼者分期或同期手术。结果 6 2眼均顺利植入后房型人工晶体 ,随访 6～ 6 2个月 ,术后视力 0 .1～ 1.2 ,>0 .5者 33例 (5 3.2 2 % ) ,术后无严重并发症。结论 严格掌握适应症 ,利用残余组织支撑人工晶体 ,无需缝线固定 ,可避免因缝合固定所致的并发症
Objective To explore a more effective method of treating traumatic cataract. Methods Non-sutured intraocular lens implantation was performed in patients with traumatic cataract with iris defect, displacement, irreversible mydriasis and posterior capsular rupture. The patients underwent staging or concurrent surgery with foreign body and glaucoma. Results Sixty-two eyes were successfully implanted with posterior chamber intraocular lens. The follow-up ranged from 6 to 62 months. The postoperative visual acuity ranged from 0.1 to 1.2, with> 0.5 in 33 cases (53.22%) and no severe postoperative complications . Conclusion Strict control of indications, the use of residual tissue support intraocular lens, without suture fixation, to avoid the complications caused by suture fixation