[Surgical treatment of subluxated lens with cataract].

Objective: To study the surgical treatment of the subluxated lens with cataract caused by broken suspensory ligament of the lens.

Methods: Phacoemulsification combined with intraocular lens implantation was performed in 21 eyes. Extracapsular cataract extraction with small-incision was performed in 6 eyes. The visual acuity, the position of IOL, and the postoperative complications were observed and analyzed.

Results: Postoperative vision was increased in all patients. Vision 3 days after the operation was 0.1 - 0.4 in 6 eyes and 0.5 - 0.8 in 21 eyes. Vision 1 month after the operation was 0.1 - 0.4 in 7 eyes and 0.5 - 0.8 in 20 eyes. The up-edge of IOL could be observed at normal pupil in only one eye. IOL positions were found to be diverged after dilation of the pupil in 2 eyes; no diplopia was experienced. There were no serious complications during or after the operation.

Conclusion: If the operator has perfect skill and chooses the optimal method, a good result can be obtained in surgical treatment of the subluxated lens.