方法：回顾性分析2013-02/2015-02于我院诊治的外伤性白内障行25G玻璃体切除术联合晶状体切除术的病例70例70眼。男43例43眼，女27例27眼，年龄22～51(平均35.23±2.54)岁，视力平均0.10±0.03。手术后随访时间6～12mo，观察患者的眼前后节、并发症、最佳矫正视力、眼压等，比较患者术前、术后1wk，1、6mo的最佳矫正视力。

结果：所有患者均顺利完成手术，视力均有不同程度地提高，术后1wk，1、6mo的最佳矫正视力较手术前比较差异有统计学意义(均P<0.05)。术后并发症：角膜水肿5例，高眼压10例，低眼压4例，视网膜点状出血5例，经对症支持治疗后，症状均好转。

结论：25G玻璃体切除术联合晶状体切除术能有效治疗外伤性白内障，降低手术风险，减少并发症，提高视力，改善预后。

METHODS: Retrospective analysis of 70 cases(70 eyes)of traumatic cataract treated by 25G vitrectomy with lensectomy from February 2013 to February 2015 in our hospital was made for the study. In the patients, there were 43 males(43 eyes), 27 females(27 eyes), aged from 22-51 years old with an average of 35.23±2.54 years, mean visual acuity was 0.10±0.03. They were all followed up for 6-12mo postoperatively. Anterior segment, fundus, complications, best corrected visual acuity(BCVA)and intraocular pressure were observed during the follow-up. BCVA preoperatively, 1wk postoperatively, 1mo postoperatively, 6mo postoperatively were compared.

RESULTS: All the patients underwent the surgery successfully, and visual acuity improved at different degrees. The differences of BCVA preoperatively compared with 1 and 6m postoperatively were all statistically significant(P<0.05). Postoperative complications: 5 cases with corneal edema, 10 cases with ocular hypertension, 4 cases with ocular hypotension, 5 cases with retinal spotting. The symptoms improved after symptomatic and supportive treatment.

CONCLUSION: 25G vitrectomy with lensectomy is effective on treating traumatic cataract, with decreased operation risk, complications and improved visual acuity.