角膜穿孔合并外伤性白内障一期人工晶体植入40例分析

Triple procedure for penetrating injury of cornea with traumatic cataract:Report of 40 cases

目的 :探讨角膜穿孔伤合并外伤性白内障行人工晶体植入的手术时机及术后常见并发症的预防处理。方法 :对 1998～2 0 0 2年我院 4 0例角膜穿孔伤缝合、外伤性白内障摘除联合人工晶体植入术进行临床分析及并发症治疗观察。结果 :术后随访 2～ 2 4个月。术后矫正视力 0 .6～ 1.0 5眼 (12 .5 % ) ;0 .3～ 0 .5 16眼 (4 0 .0 % ) ;0 .0 5～ 0 .2 17眼 (4 2 .5 % ) ;0 .0 5以下 2眼(5 .0 % )。术后常见并发症为葡萄膜炎及后囊混浊。结论 :掌握适当手术适应证 ,正确处理术后并发症 。

Objective:To explore the surgery opportunity and prevention of complications for penetrating injury of cornea with traumatic cataract.Methods:Forty cases performed lacerated corneal suture and extracapsular cataract extraction with intraocular lens implantation from 1998 to 2002 in our hospital were analyzed,and the prevention and treatment of the complications were reviewed.Results:All the cases were followed up for 2 to 24 months.The postoperative vision was 0.6 to 1.0 in 5 eyes(12.5%),0.3 to 0.5 in 16 eyes(40%),0.05 to 0.2 in 17 eyes(42.5%),and below 0.05 in 2 eyes(5%).The main postoperative complications were uveitis and after-cataract.Conclusions:Proper time of operation and management of complications can lead to satisfactory therapeutic result for the patients with penetrating injury of cornea with traumatic cataract.