后囊破裂的外伤性白内障超声乳化人工晶状体植入的临床观察

The clinical observation on traumatic cataract with broken posterior capsule by phacoemulsification with intraocular lens implantation.

目的 探讨后囊破裂的外伤性白内障的手术时机和技巧。方法 对 2 8例 ( 2 8眼 )后囊破裂的外伤性白内障施行巩膜隧道切口白内障超声乳化Ⅰ期后房人工晶状体植入。结果 术中玻璃体脱出前房 4眼。术后矫正视力 <0 1者 3眼 ,0 1～0 4者 9眼 ,≥ 0 5者 16眼。人工晶状体植入囊袋内 17眼 ,植入睫状沟内 11眼。术后 4眼出现瞳孔区纤维蛋白渗出 ,1眼人工晶状体脱位。结论 后囊破裂的外伤性白内障可行超声乳化Ⅰ期后房人工晶状体植入术。

Objective To explore the time skill of treating traumatic cataract with broken posterior capsule.Methods The phacoemulsification with intraocular lens implantation in twenty eight eyes with traumatic cataract with broken posterior capsule through a scleral tunnel incision.Results Vitreous loss occured in four eyes during operation.After operation corrected visual acuity in three eyes was below 0.1,in nine eyes was 0.1～0.4,and in sixteen eyes was over 0.5.The intraocular lens in bags was seventeen eyes and in sulcus was eleven eyes.In four eyes have exudation on IOL after operation,one eye len dislocation .Conclusions The phacoemulsification intraocular lens implantation could be used to treat traumatic cataract with broken posterior capsule.