Dick B, Schwenn O
Universitäts-Augenklinik Mainz.
Ophthalmologe. 1999 Feb;96(2):114-9. doi: 10.1007/s003470050385.
Since the first introduction of the capsular ring in 1991, the open capsular tension ring proved to be efficient in various indications and applications: e.g. in zonular dialysis or or weakness, with integrated tinted sector shield in sector or aniridia, to facilitate primary posterior capsulorhexis, for prophylaxis of intraocular lens decentration or as an intraocular measuring gauge. Nishi modified this capsular tension ring mainly by increasing the width to 0.7 mm and created a rectangular edge, thus facilitating the creation of a sharp, discontinuous bend in the equatorial capsule. This band-shaped, sharp-edged capsule-bending ring prevented the anterior capsule from coming into contact with the posterior capsule. This is most likely due to the 0.7 mm width of the capsule-bending ring, which significantly prevented anterior capsule opacification, which commonly occurs within one month postoperatively. Posterior capsule opacification seems to be reduced as well, but final evaluation is needed for a longer period of time. The capsular tension ring as well as the capsular bending ring enlarge our surgical options in modern cataract surgery. Both can be considered as a useful instrument and promising innovation.
自1991年首次引入囊袋环以来,开放式囊袋张力环在各种适应证和应用中都被证明是有效的:例如,用于悬韧带断离或薄弱、用于扇形或无虹膜症中带有一体式彩色扇形遮挡物、便于进行原发性后囊撕开、预防人工晶状体偏心或作为眼内测量仪。西石主要通过将宽度增加到0.7毫米对这种囊袋张力环进行了改良,并制作了矩形边缘,从而便于在赤道部囊袋中形成尖锐、不连续的弯曲。这种带状、边缘锋利的囊袋弯曲环可防止前囊与后囊接触。这很可能是由于囊袋弯曲环0.7毫米的宽度显著防止了通常在术后一个月内发生的前囊混浊。后囊混浊似乎也有所减少,但需要更长时间的最终评估。囊袋张力环以及囊袋弯曲环扩大了我们在现代白内障手术中的手术选择。两者都可被视为有用的器械和有前景的创新。