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目的 :探讨人工晶状体取出的适应证及术式选择。方法 :对我院 1 7例人工晶状体取出术进行回顾性分析。结果 :经角膜缘单纯取出人工晶状体 3例 ,联合玻璃体切除取出人工晶状体 1 4例。 1 7例中 ,6例同期植入人工晶状体。术后视力提高 1 4例 ,不变 1例 ,下降 1例 ,无主诉能力者 1例。结论 :人工晶状体取出术是治疗人工晶状体植入术后严重并发症的补救措施 ,有利于改善视功能、提高治愈率。由于本手术为较复杂的手术 ,应对此手术持慎重态度 ,而对 4岁以下儿童的人工晶状体植入及取出更应慎重。
Objective: To investigate the indications and surgical options of intraocular lens removal. Methods: A retrospective analysis of 17 cases of intraocular lens removal in our hospital. Results: Three cases of intraocular lens were removed through corneal limbus, 14 cases of intraocular lens were removed by vitrectomy. Seventeen cases, 6 cases of intraocular lens implantation. Postoperative visual acuity increased 14 cases, unchanged in 1 case, decreased in 1 case, no chief complaint ability in 1 case. Conclusion: Intraocular lens extraction is a remedy for serious complications after IOL implantation, which is beneficial to improve visual function and improve cure rate. Due to the more complicated surgery, the surgery should be cautious, and the intraocular lens implantation and removal of children younger than 4 years should be more cautious.