Cendelín J, Korynta J, Pitrová S
Ocní oddĕlení FTN, Praha.
Cesk Oftalmol. 1992 Dec;48(6):428-39.
The authors summarize their experience assembled during specular examinations of immunological processes on the surface of the intraocular lens. They describe the incidence of significant components of the immunological reaction--of "large cells", "fibroblast-like cells", round elements, fibrous and acellular membranes on the surface of the intraocular lens. The "large cells" are considered the most important components of the reaction from the clinical aspects. Their incidence depends most frequently on a change in the position of the intraocular lens and non-adherence to therapy in the early postoperative stage. The authors present findings assembled in patients with late changes of the position and formation of synechiae and subluxation, most probably traumatic, and occur in patients who did not respect local corticoid treatment in the early postoperative period. A similar character of the specular finding indicates uniformity of the non-specific reaction which is potentiated by interference with the haemotoocular barrier for various reasons.
作者总结了他们在对人工晶状体表面免疫过程进行镜面检查期间积累的经验。他们描述了免疫反应的重要组成部分的发生率，即人工晶状体表面的“大细胞”、“成纤维细胞样细胞”、圆形细胞、纤维膜和无细胞膜。从临床角度来看，“大细胞”被认为是反应中最重要的组成部分。它们的发生率最常取决于人工晶状体位置的变化以及术后早期未坚持治疗。作者展示了在人工晶状体位置发生晚期变化、形成粘连和半脱位（很可能是创伤性的）的患者中积累的发现，这些情况发生在术后早期未遵循局部皮质类固醇治疗的患者身上。镜面检查结果的相似特征表明非特异性反应具有一致性，这种反应由于各种原因对血眼屏障的干扰而增强。
