【摘要】 目的：总结眼外伤行晶体玻璃体切除术后Ⅱ期悬吊人工晶体植入术的方法和疗效。方法：选择眼外伤后行晶体玻璃体切除术后的患者21例（21眼），均具有矫正视力＞0.2、眼压稳定、眼底情况良好之条件，于3 6个月后行Ⅱ期悬吊人工晶体植入术。结果：随访1 6个月，平均4.5个月。矫正视力＞0.5者6眼，0.3 0.5者10眼，0.1 0.2者4眼，＜0.1者1眼。0.3及以上视力者16眼（80%）。术后裸眼视力比术前明显提高，矫正视力差异不大。结论：对于眼外伤行晶体玻璃体切除术后的患者，待眼部情况稳定3 6个月后行Ⅱ期悬吊人工晶体植入术是提高视力的理想方法，但要求术者需要具备一定的眼前后节手术经验，选择合适的病例。
【关键词】 眼损伤 无晶体眼 玻璃体切割 晶体 人工
［ABSTRACT］ Objective: To evaluate the effect of secondary suspended intraocular lens implantation after ocular trauma with lensvitrectomy. Method: Twentyone cases (21eyes) of ocular trauma were subjected to lensvitrectomy, those whose corrected vision was 0.2 or more and intraocular pressure and eyeground were normal were subjected to the secondary suspended intraocular lens implantation 3 to 6 months later. Results: During a followedup of 1 to 6 months (average 4.5 months), the corrected vision of 6 cases (6 eyes) was up to 0.6 or more, of 10 cases (10 eyes) was up to 0.3 to 0.5, of 4 cases (4 eyes) was between 0.1 to 0.2, and of 1 case was less than 0.1. The postoperative uncorrected vision was significantly higher than the preoperative, but the postoperative corrected vision was not significantly different from the preoperative. Conclusions: Secondary suspended intraocular lens implantation is a reasonable surgery for ocular trauma 3 to 6 months after lens vitrectomy, but this needs experienced skill and proper cases.
［KEY WORDS］ Eye injuries; Aphaka； Paes plana vitrectomy； Lenses, intraocular 近年来，随着玻璃体手术技术的迅速发展，对于眼外伤导致的晶体、玻璃体混浊及视网膜脱离的患者，早期施行晶体、玻璃体切割手术治疗明显缩短了病程，但无晶体眼的视功能障碍仍影响患者的正常生活和工作，为此，我们选择矫正视力＞0.2、眼压稳定、眼底情况良好的患者，在3 6个月后行Ⅱ期悬吊人工晶体植入术，效果良好，现报告如下。
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