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目的:探求一种安全有效、并发症少且更适合眼外伤时晶状体玻璃体联合手术的晶状体切除术方式。方法:对27例(27眼)眼外伤行晶状体玻璃体联合手术者进行回顾性研究。所有患者均由睫状体平坦部巩膜切口行改良晶状体切除术,保留晶状体囊,并联合玻璃体视网膜手术。结果:所有患者均成功地切除了晶状体并最大限度保留有用的晶状体囊,患者术后视力均有不同程度的提高。继发性青光眼术后眼压得到控制。结论:该改良晶状体切除术是一种安全有效、并发症少且更适合眼外伤时晶状体玻璃体联合手术的手术方式。
Objective: To explore a safe and effective, less complications and more suitable for ocular trauma with vitreoretinal surgery combined with lensectomy. Methods: 27 cases (27 eyes) of traumatic ocular trauma combined with vitrectomy were retrospectively studied. All patients underwent modified cystectomy with scleral incision of the ciliary body, retained the lens capsule and combined vitreoretinal surgery. RESULTS: All patients successfully resected the lens and retained the useful lens capsule to the maximum extent. The patients’ visual acuity improved to some extent. IOP was controlled after secondary glaucoma surgery. CONCLUSION: This modified lensectomy is a safe and effective surgical method with less complications and more suitable for combined vitreoretinal surgery with ocular trauma.