Nagashima Raymond J
Department of Ophthalmology, Kaiser Permanente, Denver, CO 80231, USA.
J Cataract Refract Surg. 2004 Jan;30(1):127-31. doi: 10.1016/S0886-3350(03)00465-6.
To report a series of patients with pseudoexfoliation syndrome who had phacoemulsification without an increased incidence of intraoperative complications or late intraocular lens (IOL) dislocation.
Department of Ophthalmology, Kaiser Permanente, Denver, Colorado, USA.
Patients were prospectively recruited from a consecutive series of all cases of phacoemulsification performed by 1 surgeon. There were 67 eyes with pseudoexfoliation syndrome and 1670 eyes without pseudoexfoliation. The incidence of vitreous loss, capsule tears, and zonular dialysis was compared between the 2 groups.
The incidence of vitreous loss was 1.5% in eyes with pseudoexfoliation syndrome and 2.3% in eyes without pseudoexfoliation. The difference between the 2 groups was not statistically significant (chi square = 0.203; P =.33). There were no cases of posterior capsule tears or zonular dialysis in pseudoexfoliation eyes without vitreous loss. No IOL dislocated over a mean follow-up of 54.1 months.
Although caution is still advised, patients with pseudoexfoliation syndrome who have phacoemulsification can achieve results similar to patients without pseudoexfoliation.
报告一系列假性剥脱综合征患者行超声乳化白内障吸除术的情况，术中并发症发生率及人工晶状体（IOL）晚期脱位发生率均未增加。
美国科罗拉多州丹佛市凯撒医疗集团眼科。
前瞻性纳入由1名外科医生连续进行的所有超声乳化白内障吸除术病例。其中67眼患有假性剥脱综合征，1670眼无假性剥脱综合征。比较两组玻璃体脱出、晶状体囊膜破裂及悬韧带离断的发生率。
假性剥脱综合征患者的玻璃体脱出发生率为1.5%，无假性剥脱综合征患者为2.3%。两组差异无统计学意义（卡方检验=0.203；P=0.33）。假性剥脱综合征患者中无玻璃体脱出者未发生后囊膜破裂或悬韧带离断。平均随访54.1个月，无IOL脱位。
尽管仍建议谨慎操作，但患有假性剥脱综合征的患者行超声乳化白内障吸除术可获得与无假性剥脱综合征患者相似的效果。
