Naumann G O
Department of Ophthalmology, University of Erlangen--Nürnberg, West-Germany.
Acta Ophthalmol Suppl (1985). 1988;184:129-31. doi: 10.1111/j.1755-3768.1988.tb02645.x.
Exfoliation syndrome is a major risk factor for extracapsular cataract surgery. In a series of unselected prospectively evaluated extracapsular cataract extractions performed by 9 surgeons the incidence of vitreous loss was 1.8% in 1205 cataracts without EX; in those with EX 9%. This fivefold increased incidence of vitreous loss appears related to the difficulties to obtain a satisfactory mydriasis, to the fragility of the zonula and potential, subluxation of the lens. As precautionary measures we recommend Flieringaring, in case of doubt sector iridotomy and sector iridectomy. Exfoliation syndrome is not a harmless anomaly but a potentially disastrous disease of the anterior segment of the eye.
剥脱综合征是囊外白内障手术的主要危险因素。在9位外科医生进行的一系列未经挑选的前瞻性评估囊外白内障摘除术中，1205例无剥脱的白内障玻璃体丢失发生率为1.8%；有剥脱的白内障玻璃体丢失发生率为9%。玻璃体丢失发生率增加五倍似乎与难以获得满意的散瞳效果、小带脆弱以及晶状体潜在半脱位有关。作为预防措施，我们推荐使用弗利尔环扎术，如有疑问则行扇形虹膜切开术和扇形虹膜切除术。剥脱综合征并非无害的异常情况，而是眼部前段一种潜在灾难性疾病。
