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白内障手术与人工晶状体植入。40 多年的个人经验。我目前的标准与考量因素。

Cataract surgery and IOL implantation. More than 40 years of personal experience. My present criteria and considerations.

作者信息

Barraquer J

机构信息

Instituto Barraquer, Barcelona, Spain.

出版信息

Doc Ophthalmol. 1992;81(3):267-80. doi: 10.1007/BF00161764.

DOI:10.1007/BF00161764
PMID:1483368
Abstract

The author refers his personal experience with different types of IOL since 1950. After an initial period of enthusiasm (1950 to 1961) the author abandoned the techniques of Ridley, Strampelli and Dannheim, because of the considerable incidence of severe complications directly related to the IOL. Over many years he emphasized the serious postoperative complications which appeared in the course of the years, even with the different new types of IOL which acquired a certain prestige. With the new posterior chamber lenses placed in the capsular bag, the results became more encouraging and the author resumed IOL implantation with this type of lenses after an adequate period of observation and experimentation. The present criteria, technique and results of the author are discussed together with some considerations on future research work to develop new techniques for substitution of the opacified lens and also to attempt to restore accommodation.

摘要

作者讲述了自1950年以来其在不同类型人工晶状体方面的个人经历。在经历了最初的热情期(1950年至1961年)后,作者放弃了里德利、斯特兰佩利和丹海姆的技术,因为与人工晶状体直接相关的严重并发症发生率相当高。多年来,他强调了这些年来出现的严重术后并发症,即使是那些获得了一定声誉的不同新型人工晶状体也不例外。随着新型后房型人工晶状体植入囊袋内,结果变得更令人鼓舞,在经过充分的观察和试验期后,作者恢复了使用这种类型人工晶状体进行植入手术。本文讨论了作者目前的标准、技术和结果,同时对未来研究工作进行了一些思考,这些研究旨在开发用于替代混浊晶状体的新技术,并尝试恢复调节功能。

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本文引用的文献

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EXPERIMENTS IN REFILLING THE LENS.晶状体再填充实验
Arch Ophthalmol. 1964 Mar;71:412-7. doi: 10.1001/archopht.1964.00970010428021.
2
Anterior chamber plastic lenses. Results of and conclusions from five years' experience.前房人工晶状体。五年经验的结果与结论。
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3
[Possible difficulties, accidents & complications during insertion of plastic lenses into the anterior chamber; personal experience based on the 1st 132 cases].[在前房植入塑料镜片过程中可能出现的困难、意外及并发症;基于最初132例病例的个人经验]
Bull Mem Soc Fr Ophtalmol. 1957;70:233-40; discussion 240-51.
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The use of plastic lenses in the anterior chamber: indications, technique, personal results.前房内塑料晶状体的应用:适应证、技术及个人经验
Trans Ophthalmol Soc U K. 1956;76:537-52.
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[Tolerance of acrylic lenses in the anterior chamber in aphakia and refraction disorders].[无晶状体眼和屈光不正患者前房内丙烯酸人工晶状体的耐受性]
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The Barraquer experience with intraocular lenses. 20 years later.巴拉奎尔人工晶状体植入术的经验。20年后。
Ophthalmology. 1982 Apr;89(4):386-93. doi: 10.1016/s0161-6420(82)34790-9.
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10
Refilling the rabbit lens. Further experiments.给兔眼晶状体重新注液。进一步的实验。
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