目前,人工晶体植入已成为儿童白内障术后无晶体屈光矫正的主要方法之一。1991～1995年,我们为38例(38眼)患儿行外伤性白内障人工晶体植入术。现将体会报告如下。1 临床资料 本组男32例,女6例;年龄3～14岁,平均6.9岁。右眼16只,左眼22只。眼球穿通伤30例,钝挫伤8例(其中3只眼前囊破裂,晶体皮质溢出到前房内)。术前视力均为数指或手动,伤后5天至2年(平均3.7个月)施术。2 手术方法 术前常规行B超检查,排除玻璃体和视网膜病变。除2只眼为二期植入外,余均为一期植入。采用爱尔康改良“J”型或“C”型后房型人工晶体,行囊袋内植入式或睫状沟 Currently, intraocular lens implantation has become one of the main methods of ametropia correction for children after cataract surgery. From 1991 to 1995, we performed traumatic cataract IOL implantation in 38 children (38 eyes). Now experience the report is as follows. 1 Clinical data The group of 32 males and 6 females; aged 3 to 14 years, mean 6.9 years. 16 right eyes, 22 left eyes. Eye penetrating injury in 30 cases, blunt contusion in 8 cases (including 3 anterior capsule rupture, crystalline cortical spill into the anterior chamber). Preoperative visual acuity were finger or manual, 5 days to 2 years after injury (an average of 3.7 months) surgery. 2 surgical methods routine preoperative B-ultrasound, excluding vitreous and retinal lesions. Except for two eyes, two were implanted, the remaining one was implanted. The use of Alcon modified “J” or “C” type of posterior chamber intraocular lens, implant pocket or ciliary sulcus