Gerstmeyer K, Scholtz S K, Auffarth G U
Augenklinik, Johannes Wesling Klinikum Minden.
IVCRC, Universität Heidelberg.
Klin Monbl Augenheilkd. 2015 Aug;232(8):962-5. doi: 10.1055/s-0035-1545739. Epub 2015 May 6.
By implanting the first IOL in 1949 Ridley's intention was to replace the opaque crystalline lens with a "lenticulus" exactly the size and the shape of the natural lens in the same physiological location in the posterior chamber. Still not resolved at that time was the fixation of the "pseudophakos" following intracapsular cataract extraction and the centration on the posterior capsule or, respectively, on residues of the anterior capsule following extracapsular cataract surgery. We describe the first attempts in 1954 of fixating a posterior chamber IOL following intracapsular extraction using a suture technique.
Selective literature research via PubMed was undertaken and additional literature retrieved by a manual search was included.
The conventional opinion that suture fixation of intraocular lenses was carried out since the 1980s and that Pearce in 1975 and Shearing in 1977 solved this problem by using haptics made of polypropylene is not quite correct: In 1954, by using a thin wire anchored in the IOL material, the British ophthalmologist, T. G. W. Parry, managed the first suture fixation of a Ridley IOL in the posterior chamber.
This remarkable medical historical innovation was however overshadowed by the rapid development of intraocular lenses, from iris-fixated lenses ("collar stud": Epstein 1954, "iris-clip": Binkhorst 1959), anterior chamber lenses (Baron 1952, Strampelli 1953) to three-piece lenses for capsular bag fixation by Pierce and Shearing in the 1970s. However it becomes obvious that already in the 1950s it was possible to correct aphakia in cases with inadequate capsular support.
1949年，里德利植入第一枚人工晶状体的目的是在后房的同一生理位置用一个与天然晶状体大小和形状完全相同的“小扁豆”替代不透明的晶状体。当时尚未解决的问题是囊内白内障摘除术后“假晶状体”的固定以及后囊膜的对中问题，或者分别是囊外白内障摘除术后前囊膜残余的对中问题。我们描述了1954年首次尝试使用缝合技术在囊内摘除术后固定后房型人工晶状体的情况。
通过PubMed进行了选择性文献检索，并纳入了通过手工检索获取的其他文献。
传统观点认为人工晶状体的缝合固定自20世纪80年代开始，且1975年皮尔斯和1977年谢林通过使用聚丙烯制成的袢解决了这个问题，这种观点并不完全正确：1954年，英国眼科医生T.G.W.帕里通过使用一根锚定在人工晶状体材料中的细线，首次在后房对里德利人工晶状体进行了缝合固定。
然而，这一显著的医学历史创新被人工晶状体的快速发展所掩盖，从虹膜固定型人工晶状体（“领扣型”：爱泼斯坦，1954年；“虹膜夹型”：宾克霍斯特，1959年）、前房型人工晶状体（巴伦，1952年；斯特兰佩利，1953年）到20世纪70年代皮尔斯和谢林用于囊袋固定的三片式人工晶状体。然而很明显，早在20世纪50年代，在囊膜支持不足的情况下就有可能矫正无晶状体眼。
