外伤眼晶状体玻璃体切除术后人工晶状体Ⅱ期植入的临床观察

目的探讨外伤眼晶状体玻璃体切除术后人工晶状体Ⅱ期植入的术式选择及临床效果。方法回顾2002年6月～2008年6月我院收治的Ⅱ期人工晶状体植入术62例（62眼），根据病情不同分别行保留前后囊者的后房型人工晶状体睫状沟植入术；部分残留晶状体囊可支撑后房型人工晶状体一侧襻者，行另一襻睫状沟单线缝合；无晶状体囊者行双线睫状沟缝合固定人工晶状体术。结果患眼术后视力均有不同程度提高。视力均达0．05或以上。0．05．0．1者6眼，0．2～0．3者37眼，0．4～0．6者11眼，〉0．6者8眼。术后随诊观察1—3月。结论Ⅱ期人工晶状体植入对无晶状体眼视力恢复起重要作用。根据晶状体囊情况采用不同术式行人工晶状体Ⅱ期植入。

Clinical observation of secondary intraocular lens implantation after lensectomy and vitrectomy with traumatic eyes

Objective To investigate the operation methods and clinical effects of secondary intraocular lens implantation after lensectomy and vitrectomy with traumatic eyes. Methods Retrospectively analyzed 62 cases （62 eyes） of secondary IOLs implantation after lensectomy and vitrectomy during 2002.6 and 2008.6 in our hospital. Depending on the state of capsule, different operation methods were chosen. Posterior chamber intraocular lens （PC-IOLs） implantation in ciliary sulcus for eyes with anterior or posteria capsule;PC-IOLs implantation with single lens loop suture affixed in ciliary sulcus for eyes with partial capsules which can support the other lens loop;PC-IOLs implantation with double lens loops suture affixed in ciliary sulcus for the eyes without capsules. Results All patients had been follwed up for 1 to 3 months. Postoperative visual acuity（VA） were improved in all the cases. VA 〉 0.05 in all the eyes;0.05-0.1 in6 eyes; 0.2-0.3 in 37 eyes; 0.4-0.6 in 11 eyes ; 〉 0.6 in 8 eyes. Conclusion secondary intraocular lens implantation makes great effect on VA recovery for patients without lens. Different operation method was chosen according to the state of capsule.