Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Curr Opin Ophthalmol. 2010 Jan;21(1):65-70. doi: 10.1097/ICU.0b013e3283331579.
To review the changes in the surgical techniques used for cataract removal in the setting of trauma and their postoperative outcome.
Primary cataract removal with intraocular lens (IOL) implantation is the commonly followed procedure for penetrating injuries with cataract. IOL implantation has evolved through various techniques namely 'in the bag', 'in the sulcus', epilenticular implantation, anterior chamber IOL, scleral fixated IOL and recently glued IOL.
Certain lacerating injuries of the anterior segment are particularly amenable to cataract extraction and IOL implantation at the time of primary laceration repair. This approach obviates additional operative and anesthetic risks, while affording timelier visual rehabilitation. Secondary lens removal may also be indicated in cases of severe corneal injury and marked edema, which may interfere with intraocular visualization.
回顾外伤性白内障手术技术的变化及其术后结果。
伴有白内障的穿透性损伤通常采用白内障摘除联合人工晶状体（IOL）植入术。IOL 植入术已经发展出多种技术，包括“囊内”、“囊外”、晶状体前囊膜下植入、前房 IOL、巩膜固定 IOL 以及最近的粘弹剂固定 IOL。
某些前段的撕裂伤特别适合在初次裂伤修复时进行白内障摘除和 IOL 植入。这种方法避免了额外的手术和麻醉风险，同时提供了更及时的视力康复。在严重的角膜损伤和明显水肿可能影响眼内可视化的情况下，也可能需要进行二次晶状体切除。
