外伤性白内障摘出人工晶状体植入术效果分析

Analysis of the efficacy of traumatic cataract extraction and intraocular lens implantation

目的分析外伤性白内障手术摘出人工晶状体植入的手术效果。方法外伤性白内障手术60例（60眼）。其中39例行Ⅰ期IOL植入，21例行Ⅱ期IOL植入。结果Ⅰ期与Ⅱ期IOL植入，手术后视力均有明显提高，两者术后视力提高程度的差异无统计学意义（P=0．230～1．124）。术中并发症主要是后囊破裂及玻璃体脱出，术后并发症有角膜水肿、虹膜睫状体炎和后囊浑浊。结论IOL植入是治疗外伤性白内障，提高视力的有效方法，虽然Ⅰ期IOL植入术后并发症较Ⅱ期人工晶状体植入术后高，但经过及时有效的治疗都能得以恢复，且避免了二次手术。

Objective To analyse the efficacy of traumatic cataract extraction and intraocular lens （IOL） implantation. Methods Sixty eyes of 60 cases of traumatic cataract were enrolled, among which 39 patients received IOL implantation at stage I, and another 21 cases received IOL implantation at stage 11. Results After the IOL implantation surgery, the vision of patients in both groups were significantly improved, and the differences in improved vision level between two groups was not statistically significant （P =0. 230 - 1. 124 ）. Additionally, the intraoperative complications were mainly posterior capsule rupture and vitreous loss, while postoperative complications included corneal edema, iridocyelitis, and posterior capsular opacification. Conclusion IOL implantation is an effective way to treat traumatic cataract and improve vision. Although the postoperative complications of IOL implantation at stage I were more than that of stage II , they all could recover after timely and effective treatment which avoid the second surgery.