外伤性白内障与后房型人工晶体植入术

Traumatic cataract and implantation of posterior chamber

报道伴有各种并发症的外伤性白内障24例(25只眼),根据不同病情,施行了各种联合手术如:晶体切割、玻璃体切割、保留晶体前囊膜植入人工晶体;玻璃体切割并取除球内异物,待晶体混浊后再行白内障囊外摘除植入人工晶体;以及摘除球内异物同时施行白内障囊外和人工晶体植入术等。并对手术切口选择、截囊方式、晶体核的娩出,如何抽吸皮质以及手术时间的选择等也作了简要的讨论。

24 cases(25 eyes)of traumatic cataract with various complications were performed combined operations such as vitrectomy and extracapsular lensectomy from behind to leave the anterior capsule followed by imp- lantation of IOL,vitrectomy and removal of intraocular foreign body followed by secon- dary extracapsular extraction of the cataract and IOL implantation when the lens became opaque,and removal of intraocular foreign body with extracapsular extraction of the lens and IOL implantation.The position of incision,the method of anterior capsulotomy and nucleus delivery,the irrigation and aspiration of lens cortex and the timing of the operation were discussed.