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目的 :分析人工晶状体取出的适应证及手术方法。方法 :对 30例 30只眼人工晶状体取出病例进行回顾性分析。其中 2 0例为外伤性白内障 ;7例为老年性白内障 ;1例为高度近视、视网膜脱离术后并发白内障 ;1例Fuch’s综合征并发白内障 ;1例为先天性白内障。结果 :人工晶状体取出的原因为人工晶状体脱位、人工晶状体夹持、牵引性视网膜脱离、大泡性角膜病变、顽固性色素膜炎、继发青光眼等。主要采用虹膜粘连分开、瞳孔成形、人工晶状体重新固定或更换、人工晶状体取出联合玻璃体切除、玻璃体视网膜联合手术、睫状体光凝术等。术后无严重并发症。结论 :对人工晶状体植入术后的某些严重并发症 ,取出人工晶状体可在一定程度挽救视功能
Objective: To analyze the indications and surgical methods of intraocular lens removal. Methods: Thirty patients with 30 eyes were retrospectively analyzed. Among them 20 cases were traumatic cataract, 7 cases were senile cataract, 1 case had high myopia and retinal detachment complicated with cataract, 1 case had Fuch’s syndrome complicated with cataract and 1 case had congenital cataract. Results: The causes of intraocular lens dislocation were intraocular lens dislocation, intraocular lens clamping, traction retinal detachment, bullous keratopathy, intractable pigmentary inflammation and secondary glaucoma. The main use of iris adhesions separately, pupil formation, intraocular lens re-fixation or replacement, removal of intraocular lens combined with vitrectomy, vitreoretinal surgery, ciliary body photocoagulation. No serious complications after surgery. Conclusions: Some serious complications after intraocular lens implantation, removal of intraocular lens may be to a certain extent, save visual function