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目的探讨外伤性白内障人工晶体植入术并发症的原因及处理。方法对72例(79眼)外伤性白内障行现代晶体囊外摘除并后房型人工晶体植入术。其中39例(42眼)随访了3~34个月。结果术后最佳矫正视力达1.5,28眼(66.7%)术后矫正视力≥0.5。对手术并发症的原因及处理方法进行了讨论。结论手术技巧的提高,术中粘弹性物质的应用,术后较长时间的应用皮质类固醇及短效散瞳剂等措施可明显提高手术疗效。
Objective To investigate the causes and management of complications caused by traumatic cataract intraocular lens implantation. Methods 72 patients (79 eyes) with traumatic cataract underwent extracapsular lens extraction and posterior chamber intraocular lens implantation. 39 (42 eyes) were followed up for 3 to 34 months. Results The best corrected visual acuity was 1.5,28 eyes (66.7%) postoperative corrected visual acuity ≥0.5. The causes and treatment of surgical complications were discussed. Conclusion The improvement of operative skills, the application of intraoperative viscoelastic substances, the long time after the application of corticosteroids and short-acting mydriatic agents and other measures can significantly improve the surgical efficacy.