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目的:分析超声乳化玻璃体切除眼内异物取出人工晶状体植入联合术治疗外伤性白内障眼内异物的疗效。方法:回顾分析13例(13眼)眼球穿通伤外伤性白内障眼内异物患者行超声乳化玻璃体切除眼内异物取出人工晶状体植入联合术的术中,术后并发症及术后最佳矫正视力。术后随访2~12mo。结果:13例患者(男10例,女3例)平均年龄36.8(17~65)岁。所有患者眼内异物均取出。4例术中于玻璃体切除眼内异物取出后植入人工晶状体,5例于联合术后二期植入人工晶状体,4例患者未植入人工晶状体。术后最佳矫正视力为手动~0.8.最佳矫正视力0.5以上者4眼,0·1~0.4者5眼,0.1以下者4眼。术中发生玻璃体出血3例,术后发生视网膜脱离2例,二次手术视网膜复位。结论:超声乳化玻璃体切除人工晶体植入联合术治疗白内障眼内异物伤是安全有效的方法。患者术后的视功能取决于角膜、巩膜和视网膜损伤部位及病变程度。
Objective: To analyze the efficacy of phacoemulsification vitrectomy combined intraocular lens implantation and intraocular lens implantation in the treatment of traumatic cataract intraocular foreign body. Methods: Thirteen patients (13 eyes) with penetrating traumatic cataract who underwent traumatic cataract were retrospectively analyzed. The intraoperative and postoperative complication and the best corrected visual acuity after phacoemulsification and intraocular foreign body removal combined with intraocular lens implantation were retrospectively analyzed. . Follow-up 2 ~ 12mo. Results: Thirteen patients (10 males and 3 females) had an average age of 36.8 (17-65) years. All patients were removed intraocular foreign body. Intraocular lens implantation was performed in 4 cases during intraocular foreign body removal after vitrectomy. Intraocular lens was implanted in 5 cases after intraocular lens implantation in 2 cases. Intraocular lens was not implanted in 4 cases. The best corrected visual acuity after surgery was ~ 0.8, the best corrected visual acuity was 0.5 or more in 4 eyes, 0.1 to 0.4 in 5 eyes, and 0.1 or less in 4 eyes. Intraoperative vitreous hemorrhage occurred in 3 cases, 2 cases of retinal detachment occurred after surgery, and 2 cases of retinal reattachment. Conclusion: Phacoemulsification combined with intraocular lens implantation in the treatment of cataract intraocular foreign body injury is a safe and effective method. The visual function of patients after surgery depends on the cornea, sclera and retinal injury sites and degree of lesion.