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目的探讨外伤性和并发性白内障后囊混浊的治疗方法。方法后发性白内障30例（33眼），经平坦部施行后囊切除及前段中轴玻璃体切除术。结果术后随访3－32月，32眼后囊中央形成直径3mm圆孔，切囊成功率达97％，矫正视≥0．5者占84．8％；未发现瞳孔区玻璃体疝、囊样黄斑水肿或视网膜脱离等并发症。结论该手术是一种安全可靠的后发性白内障治疗方法，特别适用于外伤性和并发性白内障，尤其是儿童人工晶体前膜形成者。
Objective To investigate the treatment of posterior capsular opacity in traumatic and complicated cataract. Methods Thirty patients (33 eyes) with posterior capsular cataract were treated with posterior capsulotomy and anterior axial vitrectomy. Results Three to 32 months after operation, 32 eyes with a diameter of 3mm were formed in the center of the posterior capsule. The success rate of the resection was 97%, and the corrected visual acuity was 0.5% (84.8%). No vitreous hernia and cystoid Macular edema or retinal detachment and other complications. Conclusion This procedure is a safe and reliable method for the treatment of posterior capsular diseases. It is especially suitable for traumatic and complicated cataract, especially for children with pre-IOL.