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目的探讨晶状体玻璃体联合手术治疗外伤性晶状体脱位的治疗原则、疗效和预后。方法总结1999年4月至2004年4月间收治的73例(73眼)外伤性晶状体脱位的脱位类型、治疗方法及疗效。结果所有患者均成功地摘除脱位的晶状体,90.4%的患眼视力有不同程度提高;继发青光眼患者的眼压得到控制;合并视网膜脱离者,术后视网膜复位。结论外伤后晶状体脱位的治疗要根据脱位晶状体的所处位置、是否存在并发症而定。如果脱位晶状体导致视力障碍、继发青光眼或视网膜脱离时,联合手术的疗效满意,视力明显提高。
Objective To investigate the treatment principle, efficacy and prognosis of lens vitreous surgery in the treatment of traumatic lens dislocation. Methods A total of 73 cases (73 eyes) of traumatic lens dislocation dislocation type, treatment and efficacy were summarized from April 1999 to April 2004. Results All patients were successfully removed dislocation of the lens, 90.4% of eyes with varying degrees of improvement of visual acuity; secondary glaucoma in patients with intraocular pressure was controlled; with retinal detachment, postoperative retinal reattachment. Conclusion The treatment of dislocation after traumatic lens dislocation depends on the location of dislocation of the lens, the existence of complications may be. If dislocation of the lens lead to visual impairment, secondary glaucoma or retinal detachment, the combined surgery was satisfactory, visual acuity was significantly improved.