John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
J Glaucoma. 2018 Jul;27 Suppl 1:S102-S104. doi: 10.1097/IJG.0000000000000925.
Cataract extraction in exfoliation syndrome requires careful preoperative assessment and planning. Knowledge of the degree of pupil dilation and zonular integrity are essential for safely perform cataract surgery in these eyes. Capsule rhexis should be 5.5 mm and all intraoperative maneuvers should be designed to minimize zonular stress. The surgeon should be versatile in various nuclear disassembly techniques and consider use of capsular support devices when warranted. Cortical cleanup should proceed via a tangential approach and attempts should be made to removal residual lens epithelial cells so as to minimize postoperative capsular contraction syndrome.
在剥脱综合征中进行白内障摘除需要仔细的术前评估和规划。了解瞳孔扩张程度和悬韧带完整性对于在这些眼睛中安全进行白内障手术至关重要。囊袋撕裂口应为 5.5mm，所有手术操作都应设计为最小化悬韧带的压力。外科医生应该熟练掌握各种核分解技术，并在必要时考虑使用囊袋支撑装置。皮质清除应通过切线方法进行，并应努力去除残留的晶状体上皮细胞，以最大程度地减少术后囊袋收缩综合征。
