外伤性白内障后房型人工晶状体一期植入分析

目的 探讨外伤性白内障后房型人工晶状体一期植入术的临床效果. 方法对118例(118只眼)外伤性白内障患者行白内障摘除联合后房型人工晶状体一期植入术,随访3~12个月,并对术后疗效及并发症进行分析.结果 术后矫正视力≥0.05者109例占92.4%;≥0.3者81例占68.6%;≥0.5者52例占44.1%;≥0.8者23例占19.5%.术后常见并发症为早期角膜水肿、葡萄膜炎、人工晶状体夹持、继发性青光眼.但经过相应的处理,并发症都能得到很好的控制.结论 外伤性白内障摘除的同时行后房型人工晶状体一期植入是安全有效的.

Immediate posterior chamber intraocular lens implantation in traumatic cataract surgery

Objective To investigate the clinical effect of immediate posterior chamber intraocular lens (P-C IOL) implantation during traumatic cataract surgery. Methods Of 118 cases of uniocular traumatic cataract were treated by P-C IOL implantation and followed up for 3-12 months. The operative effect and complications were analyzed. Results There were 109 cases (92.4%) with the corrected visual acuity ≥0.05; 81 cases (68.6%) ≥0.3; 52 cases (44.1%) ≥0.5; 23 cases (19.5%) ≥0.8. The postoperative complications included early corneal edema, uveitis, pupillary capture and secondary glaucoma. No severe postoperative complications were found after correct treatments. Conclusions The traumatic cataract extraction combined with immediate intraocular lens implantation is safe and effective.