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目的 评估外伤性白内障前囊夹持法植入后房人工晶状体的安全性和有效性。方法 对 17例后囊有较大破口的外伤性白内障病例 ,采用晶状体前囊夹持法植入后房人工晶状体 ,观察术后视力及并发症。随访 3~ 66月 ,平均 3 8 2月。结果 术后矫正视力≥ 0 5者 12例 (70 6% )。人工晶状体位置稳定。未发现后发性白内障、视网膜脱离、继发性青光眼或顽固性葡萄膜炎。结论 对于晶状体后囊有较大破孔、前囊存在的外伤性白内障病例 ,用前囊夹持法植入后房人工晶状体 ,是一种简便安全有效的方法。
Objective To evaluate the safety and efficacy of anterior chamber intraocular lens implantation in patients with traumatic cataract. Methods Twenty-seven cases of traumatic cataract with large posterior capsule were implanted. The posterior chamber intraocular lens (IOL) was implanted by the anterior lens capsule. Visual acuity and complications were observed. Followed up from 3 to 66 months, an average of 382 months. Results Postoperative corrected visual acuity ≥ 0 5 in 12 cases (70 6%). Intraocular lens position stable. No recurrent cataract, retinal detachment, secondary glaucoma, or refractory uveitis were found. Conclusion For the posterior capsule of the lens has a large hole, the presence of anterior capsule traumatic cataract cases, the use of anterior capsule clamping intraocular lens implantation, is a simple and safe and effective method.