Uchida H, Ogino N
Department of Ophthalmology, Aichi Medical University, Japan.
Nippon Ganka Gakkai Zasshi. 1991 Nov;95(11):1117-23.
The anterior capsule was preserved intact in pars plana lensectomy in 14 cases of pars plana vitrectomy carried out for proliferative diabetic retinopathy in 9 cases, sarcoid uveitis in one case, proliferative vitreo-retinopathy in 3 cases and retinal detachment with a giant break in one case. Follow-up periods ranged from 6 to 17 months, with a mean of 11 months. Simultaneous posterior chamber intraocular lens implantation anterior to the anterior capsule was performed in 7 cases, and in one case secondary implantation was performed 4 months later. In 11 cases anterior capsules remained clear and in 9 of them lens epithelial cells had been thoroughly removed up to the equator using a Terry squeegee. Posterior synechia occurred in 4 cases in which air or gas tamponade had been done. This method allows complete anterior vitrectomy and is adaptable not only to simultaneous but also secondary posterior chamber intraocular lens implantation.
在为9例增殖性糖尿病视网膜病变、1例结节病性葡萄膜炎、3例增殖性玻璃体视网膜病变和1例伴有巨大裂孔的视网膜脱离行玻璃体切割术的14例患者中，扁平部晶状体切除术时前囊膜保持完整。随访时间为6至17个月，平均11个月。7例患者在晶状体前囊膜前方同期植入后房型人工晶状体，1例患者在4个月后进行了二期植入。11例患者的前囊膜保持清晰，其中9例使用特里刮匙将晶状体上皮细胞彻底清除至赤道部。4例进行了空气或气体填塞的患者发生了后粘连。该方法可进行完全的前部玻璃体切除术，不仅适用于同期后房型人工晶状体植入，也适用于二期植入。
