儿童角膜穿通伤合并外伤性白内障人工晶体植入术临床分析

A clinical analysis of intraocular lens implantation for corneal penetrating injury combining with traumatic cataract in children

本文回顾分析２６ 例 （２６ 眼） ５～１４ 岁儿童角膜穿通伤合并外伤性白内障植入后房型人工晶体的临床结果。对麻醉、人工晶体植入、后囊纤维膜样混浊进行了分析讨论。提示 ８ 周岁以上儿童常能在眼局部麻醉下顺利地完成手术。认为对儿童角膜穿通伤合并外伤性白内障植入人工晶体， 应视眼部伤情及术中情况， 权衡利弊， 区别选择Ⅰ期或Ⅱ期植入。作者观察到， 这类联合手术的后囊纤维膜样改变， 在术后一至二周即在不同程度上有所表现。

To evaluated 26 cases (26 eyes) of corneal penetrating injury combining with traumatic cataract in children 5～14 years after cataract surgery with intraocular lens implantation.We discuss and analysis anaesthesia,intraocular lens implantation and fibrous membranes opacity in posterior capsular.The children over eight can be operated smoothly under local anaesthesia.The method of IOL implantation (primary and secondary implantation) can be chosen according to the degree of injury and surgical condition.The author observed the fibrous membranes proliferated in various degrees during 1～2 weeks after combined surgery.