Aust W, Böhmer E
Augenklinilk des Lehrkrankenhauses Kassel.
Klin Monbl Augenheilkd. 1989 Sep;195(3):166-8. doi: 10.1055/s-2008-1046430.
Lens implantation after surgery for traumatic cataract is a major help in rehabilitating the patient. Most such patients are still at work. Surgical problems result from injuries to the cornea, iris, lens, and vitreous body. If possible a posterior chamber lens should be implanted in the bag. In 35 patients, 24 posterior chamber lenses and 11 anterior chamber lenses were implanted. In 27 cases the traumatic cataract had been caused by perforating injury and in eight by contusion. In 28 patients there was a significant improvement in visual acuity by the day they were discharged. At short focus more than one-half of the patients had simultaneous vision with striated glasses, and two-fifths at long focus. Two-fifths of all patients attained stereoscopic vision at both short and long focus. The binocular functions were worse in most of the cases where the visual acuity of the injured eye was 0.4 or less.
外伤性白内障手术后植入人工晶状体对患者康复有很大帮助。大多数此类患者仍在工作。手术问题源于角膜、虹膜、晶状体和玻璃体的损伤。如有可能,应将后房型人工晶状体植入囊袋内。35例患者中,植入了24枚后房型人工晶状体和11枚前房型人工晶状体。27例外伤性白内障由穿孔伤引起,8例由挫伤引起。28例患者出院时视力有显著改善。在近焦点,超过一半的患者佩戴条纹眼镜能同时视物,在远焦点为五分之二。所有患者中有五分之二在近焦点和远焦点都获得了立体视觉。在大多数患眼视力为0.4或更低的病例中,双眼功能较差。