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目的:评价角膜伤口修补、白内障摘除联合人工晶体植入术的临床疗效。方法:对36例角膜穿通伤患者施行角膜伤口修补的同时行白内障摘除联合人工晶体植入术。人工晶体前膜、后发性白内障给予YAG激光切除。角膜中央疤痕严重影响视力者行穿透性角膜移植术。对所有病例进行3～12个月的随访。结果:术后末次随访时裸眼视力0.1～0.3者8例(22.8％),0.4～0.5者14例(40％),0.6～0.8者13例(37.1％)。无因人工晶体植入术引起的严重并发症。结论:只要能准确地把握好手术适应症,在角膜伤口修补的同时行人工晶体植入术能取得较好的疗效。眼科学报2000;16:249～251。
Objective: To evaluate the clinical effect of corneal wound repair and cataract extraction combined with intraocular lens implantation. Methods: Thirty-six patients with corneal penetrating injury underwent corneal wound repair and cataract extraction combined with intraocular lens implantation. Intraocular lens anterior film, posterior cataract given YAG laser resection. Central corneal scar seriously affects the visual acuity of penetrating keratoplasty. All cases were followed up for 3 to 12 months. Results: There were 8 cases (22.8%) with visual acuity of 0.1-0.3 at the last follow-up, 14 cases (0.4% -0.5%) and 13 cases (37.1%) with 0.6-0.8. No serious complications caused by artificial lens implantation. Conclusion: As long as we can accurately grasp the indications for surgery, IOL implantation can achieve better results in the repair of corneal wounds. Journal of Ophthalmology 2000; 16: 249 ~ 251.