Mach R, Procházková L, Susický P
Ocní oddĕlení Masarykovy nemocnice, Ustí nad Labem.
Cesk Slov Oftalmol. 2001 Jan;57(1):38-42.
The paper is concerned with the problem of extraction of foreign metal bodies, which remained after a perforating injury in the patient's lens. The authors discuss early and late extraction of the opacifying lens.
In three successive accidents of young men (22-34 years) the authors compare the fate of intralenticular metal bodies and the lens.
All three metal bodies were extracted, at the same time also surgery of the opacifying lens was performed with implantation of a posterior chamber intraocular lens into the sac after continual curvilinear capsulorrhexy. The postoperative visual acuity was 6/6.
With regard to contemporary possibilities of careful solution of lenticular surgery, using high standard viscoelastic materials, it is advisable to remove primarily the foreign body from the lens along with the damaged opacified lens and replacement of the latter by a posterior chamber intraocular lens as the quickest possible solution of the posttraumatic state.
本文关注的是患者晶状体穿孔伤后残留的异物金属体的取出问题。作者讨论了混浊晶状体的早期和晚期取出。
在三位年轻男性（22 - 34岁）连续发生的事故中，作者比较了晶状体内部金属体和晶状体的情况。
所有三个金属体均被取出，同时在连续环形撕囊后，对混浊晶状体进行了手术，并将后房型人工晶状体植入囊袋内。术后视力为6/6。
鉴于目前在精细的晶状体手术中使用高标准粘弹性材料的可能性，建议尽早从晶状体中取出异物以及受损混浊的晶状体，并尽快用后房型人工晶状体替代，以此作为创伤后状态的最快解决方案。
