Osher M S
Ophthalmic Surg. 1975 Fall;6(3):32-35.
The Copeland intraocular lens implant combined with the intracapsular cataract extraction technique is relatively easy to do when first starting intraocular lens surgery. It does not require switching over to the extracapsular technique or using suture material to secure the implant. It can be done with a Loupe by those who do not use a microscope. The lens is hinged securely in the plane of the pupil and is immobile even with extensive eye movement. The planned implantation should be cancelled if the eye is not soft with a shrunken vitreous body immediately after the lens is extracted. The talked about complications of uveitis and posterior lens membrane may be avoided by the use of steroids and No. 10-0 Ethylon or No. 9-0 silk sutures. After doing, over the past two years, 55 Copeland iris plane lenses combined with intracapsular cataract extraction, I find it to be a relatively simple procedure. It is certainly easier than using intraocular lenses that require either the remnants of lens cortex or capsule for implant fixation, or the tying of No. 10-0 Ethylon suture inside the anterior chamber.
在刚开始进行人工晶状体手术时，将科普兰人工晶状体植入术与囊内白内障摘除技术相结合相对容易操作。它不需要转换为囊外技术或使用缝合材料来固定植入物。不使用显微镜的人可以借助放大镜来完成。晶状体在瞳孔平面牢固铰接，即使眼球有大幅度运动也不会移动。如果在晶状体摘除后眼球不软且玻璃体萎缩，则应取消计划中的植入。通过使用类固醇以及10-0号Ethylon缝线或9-0号丝线，可以避免所提及的葡萄膜炎和晶状体后膜等并发症。在过去两年中进行了55例科普兰虹膜平面晶状体联合囊内白内障摘除术后，我发现这是一个相对简单的手术。它肯定比使用那些需要残留晶状体皮质或囊膜来固定植入物，或者在前房内打结10-0号Ethylon缝线的人工晶状体更容易。
