Sharma T, Dhingra N, Worstmann T
Queen's Hospital, Burton-on-Trent, UK.
Eye (Lond). 2000 Aug;14 ( Pt 4):646-50. doi: 10.1038/eye.2000.158.
To assess the results of small-incision cataract surgery with intraocular lens implantation using an anterior chamber maintainer (ACM) performed between March 1997 and December 1998.
A retrospective audit was performed of all 300 consecutive patients who underwent extracapsular cataract extraction using a 6 mm scleral tunnel incision, anterior chamber maintainer and manual fragmentation of the nucleus.
Ninety per cent of patients had a gain in visual acuity at the end of 3 months. The rate of posterior capsule opacification was comparable to the results of the National Cataract Surgery Survey (RCO 1993), i.e. 13%, but the rate of corneal endothelial decompensation and endophthalmitis was marginally higher.
Appropriate selection of cases, meticulous wound closure and subconjunctival antibiotics at the end of surgery make this an acceptable alternative small-incision closed-system low-cost procedure where phacoemulsification is not available.
评估1997年3月至1998年12月间使用前房维持器（ACM）行小切口白内障手术并植入人工晶状体的效果。
对连续300例行白内障囊外摘除术的患者进行回顾性审计，手术采用6mm巩膜隧道切口、前房维持器及手法碎核。
90%的患者在术后3个月末视力提高。后囊膜混浊发生率与国家白内障手术调查结果（1993年皇家眼科医师学院）相当，即13%，但角膜内皮失代偿和眼内炎发生率略高。
适当选择病例、精细缝合伤口并在手术结束时结膜下注射抗生素，使该手术成为在无法进行超声乳化术时可接受的替代小切口闭合系统低成本手术。
