外伤性白内障手术的疗效分析

Evaluate the effect of operation in traumatic cataract.

目的 评价外伤性白内障的手术效果。方法 对 5 6例 (5 8眼 )各种原因所致的外伤性白内障施行手术治疗 ,其中 44眼行现代白内障囊外摘出或超声乳化术 ,同时一期后房人工晶状体植入 ;5眼二期后房人工晶状体植入 ;6眼前房人工晶状体植入 ;3眼人工晶状体缝线固定术。结果 术后视力 0 4～ 1 0者39眼占 6 7 2 % ,并发症主要为后囊破裂玻璃体脱出、角膜水肿、人工晶状体前膜及后发障。结论 外伤性白内障虽病情复杂 ,并发症较多 。

Objective To evaluate the effect of operation in traumatic cataract.Methods 56 cases (58 eyes ) with traumatic cataract caused by variers reasons were recieved surgical treatment.In 58 eyes,44 eyes were accepted moden extracapsular cataract extraction(ECCE) or phacoemulsification,and implanted posterior chamber intraocular lens(IOL) primary;secondary posterior chamber IOL implantation was performed on 5 eyes; anterior chamber IOL implantation on 6 eyes and IOL suture fixation on 3 eyes.Results The post operation visual acuities have improved in 39 eyes (67.2%).The complications included rupture of posterior capsule and prolapse of vitreous,corneal edema,exudative membrane on IOL and after cataract.Conclusion These results indicate that traumatic cataract can get satisfactory effect by good operation and therapy before and after operation