角膜伤口修补白内障摘除联合人工晶体植入术

目的：评价角膜伤口修补、白内障摘除联合人工晶体植入术的临床疗效。方法：对36例角膜穿通伤患者施行角膜伤口修补的同时行白内障摘除联合人工晶体植入术。人工晶体前膜、后发性白内障给予YAG激光切除。角膜中央疤痕严重影响视力者行穿透性角膜移植术。对所有病例进行3－12个月的随访。结果：术后末次随访时裸眼视力0．1－0．3者8例（22．8％），0．4－0．5者14例（40％），0．6－0．8者13例（37．1％）。无因人工晶体植入术引起的严重并发症。结论：只要能准确地把握好手术适应症，在角膜伤口修补的同时行人工晶体植入术能取得较好的疗效。

Simultaneously Corneal Laceration Repair, Traumatic Cataract Removal and Intraocular Lens Implantation

Objective: The study aimed to evaluate the outcome of patients who undrwent simultaneously corneal laceration repair, cataract extraction and posterior chamber lens implantation. Methods: Traumatic cataract extraction and posterior chamber intraocular lens (PC IOL) implantation were performed in 36 eyes of 36 cases with corneal laceration. YAG laser was the postoperative procedure for embrane before the lens and after cataract. Penetrating keratoplasty was performed for central cicatrice of cornea. All the patients have been followed up for 3-12 months. Results: The postoperative visual acuity s. c. was 0. 1 -0.3 in 8 cases (22. 8% ), 0. 4-0. 5 in 14 cases (40% ) 0. 6-0. 8 in 13 cases (37. 1% ) on following up. There were no serious complication attributable to PC IOL implantation. Conclusion: As long as the range of surgical indication was known well, PC IOL implantation can get good clinical effects at the time of primary repair. Eye Science 2000; 16: 249-257.