Parelman A G
Ophthalmic Surg. 1976 Winter;7(4):79-91.
A large series of cases of intracapsular cataract extractions with implantation of the recently introduced Medallion circular loop lens is reviewed. Case selection surgical technique, postoperative management, complications and results are presented in detail. Surgical and visual results have been excellent ahd compare favorably with intracapsular cataract surgery performed without artificial lens implantation. The transiridectomy clip of the posterior supporting circular loop provides an excellent system of lens fixation and eliminates the need for an iris suture with the potential long-term complications of possible iris suture absorption. The lens is essentially unluxatable. A particularly low incidence of cystoid macular edema, as well as other long-term postoperative complications, has been encouraging. The surgical technical requirements for implantation of this particular implant are very exacting. Further refinements in design and construction of this artificial lens based on the experiences developed in this series of cases are proposed.
回顾了一系列采用最近推出的Medallion环形袢人工晶状体进行囊内白内障摘除术的病例。详细介绍了病例选择、手术技术、术后处理、并发症及结果。手术和视觉效果极佳，与未植入人工晶状体的囊内白内障手术相比具有优势。后支撑环形袢的经虹膜切除术夹提供了出色的晶状体固定系统，无需虹膜缝合，从而避免了可能的虹膜缝合吸收等潜在长期并发症。该晶状体基本不会脱位。囊样黄斑水肿以及其他术后长期并发症的发生率特别低，令人鼓舞。植入这种特定植入物的手术技术要求非常严格。基于这一系列病例所积累的经验，建议对这种人工晶状体的设计和构造进行进一步改进。
