Goder G J
Eye Hospital, Berlin-Buch Hospitals, GDR.
Acta Ophthalmol Suppl (1985). 1988;184:126-8. doi: 10.1111/j.1755-3768.1988.tb02644.x.
We noticed a tenfold higher incidence of zonular rupture during planned extracapsular cataract extraction (e.c.c.e.) in patients with exfoliation syndrome compared to patients without this disease. The exfoliation glaucoma is an especially bad precondition for e.c.c.e. The postoperative complication rate (toxic lens syndrome, iridocyclitis) is remarkably high when there is an increased fluorescein leakage of the iris vessels before the operation. Also changes of the vitreous as shown by biomicroscopy or ultrasonography in the case of hazy optical media of the eye are a bad precondition. An intracapsular cataract extraction without lens implantation should be considered in cases of two or more worsening preoperative conditions.
我们注意到，与无剥脱综合征的患者相比，在计划进行囊外白内障摘除术（ECCE）时，剥脱综合征患者的晶状体悬韧带断裂发生率高出十倍。剥脱性青光眼是ECCE的一个特别不利的前提条件。如果术前虹膜血管荧光素渗漏增加，术后并发症发生率（毒性晶状体综合征、虹膜睫状体炎）会非常高。此外，当眼部光学介质模糊时，生物显微镜检查或超声检查显示的玻璃体变化也是一个不利的前提条件。对于术前出现两种或更多病情恶化情况的病例，应考虑进行无晶状体植入的囊内白内障摘除术。
