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目的:探讨儿童角膜穿通伤合并外伤性白内障的治疗方法及效果。方法:回顾性分析儿童角膜穿通伤合并外伤性白内障30例的受伤情况,采用显微镜下1次或2次手术治疗,术后随访1~2 a。结果:30只眼治疗前视力为光感至0.1,治疗后视力>0.8(15例)50%,视力0.2~0.5(10例)33.33%,视力<0.1(5例)16.67%。结论:儿童角膜穿通伤合并外伤性白内障恰当治疗,可大大减少儿童低视力,较多患者获得立体视。
Objective: To investigate the treatment and effect of traumatic cataract in children with corneal penetrating injury. Methods: Thirty cases of penetrating traumatic cataract in children with corneal penetrating injury were retrospectively analyzed. One or two surgical procedures were performed under the microscope. The patients were followed up for 1-2 years. Results: The visual acuity of 30 eyes was 0.1 after treatment, the visual acuity was> 0.8 (15 cases), the visual acuity was 0.2 ~ 0.5 (10 cases) 33.33%, visual acuity was less than 0.1 (5 cases) 16.67%. Conclusion: Corneal penetrating injury combined with traumatic cataract appropriate treatment can significantly reduce children with low vision, more patients with stereopsis.