Schönherr U, Küchle M, Händel A, Lang G K, Naumann G O
Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg, Bundesrepublik Deutschland.
Fortschr Ophthalmol. 1990;87(6):588-90.
A prospective study was undertaken to evaluate the risk factors in extracapsular surgery for eyes with pseudoexfoliation syndrome (PES) with and without open angle glaucoma. The study included 3095 planned extracapsular cataract extractions performed by 18 surgeons between September 1986 and June 1989. Of the 3095 eyes 153 (4.9%) showed clinical signs of PES. We examined three groups of eyes: nonglaucomatous eyes (2476 eyes), glaucomatous eyes controlled by local antiglaucomatous therapy (342 eyes) and glaucomatous eyes that had undergone antiglaucomatous surgery (277 eyes). For each group, the incidence of capsular breaks and vitreous loss was evaluated for eyes with and without PES. In the group of nonglaucomatous eyes, vitreous loss occurred significantly more frequently (p less than 0.05) in eyes with PES. For the group of glaucomatous eyes, complications were more frequent but not significant in the presence of PES (p greater than 0.15). We conclude that PES is a significant risk factor in extracapsular surgery even in the absence of glaucoma. After introducing special precautionary measures for eyes showing signs of PES, the incidence of complications in extracapsular surgery has decreased considerably in our hospital for these eyes.
一项前瞻性研究旨在评估假性剥脱综合征（PES）伴或不伴开角型青光眼患者行囊外手术的危险因素。该研究纳入了1986年9月至1989年6月间18位外科医生计划实施的3095例囊外白内障摘除术。在这3095只眼中，153只（4.9%）有PES的临床体征。我们检查了三组眼睛：非青光眼眼（2476只）、通过局部抗青光眼治疗控制的青光眼眼（342只）和接受过抗青光眼手术的青光眼眼（277只）。对于每组，评估有无PES的眼睛的囊膜破裂和玻璃体丢失的发生率。在非青光眼眼中，有PES的眼睛玻璃体丢失的发生率显著更高（p<0.05）。对于青光眼组，在有PES的情况下并发症更频繁，但无统计学意义（p>0.15）。我们得出结论，即使没有青光眼，PES也是囊外手术的一个重要危险因素。在对有PES体征的眼睛采取特殊预防措施后，我院这些眼睛囊外手术的并发症发生率已大幅下降。
