Merenmies L, Tarkkanen A
Acta Ophthalmol (Copenh). 1977 Jun;55(3):347-52. doi: 10.1111/j.1755-3768.1977.tb06108.x.
Between the years 1962 and 1976 85 eyes which had undergone cataract surgery were accessioned to the Ophthalmic Pathology Laboratory of the Helsinki University Eye Hospital. The specimens were submitted from the various eye departments of the country. Of these 8k eyes nine had been enucleated within 2 months after surgery while in 64 cases the enucleation had been performed more than 12 months after surgery. 40 eyes had had an attempted operation for senile cataract, 30 eyes for traumatic cataract while the remaining cases were congenital cataract cases or cataracts in pre-existing glaucomatous or chronic uveitis eyes. Most frequent causes for the loss of the eyes were related to incomplete or abnormal healing of the operative wound such as epithelial down-growth and closure of the chamber angle with extensive anterior synechiae leading to absolute glaucoma. It is noteworthy that all cases of epithelial downgrowth were derived from the beginning of the observation period. No new cases were obtained after 1969. Other important causes were purulent endophthalmitis and retinal detachment. Haemosiderosis was a prominent cause in the group with traumatic cataract. A careful histopathological analysis of eyes enucleated after cataract surgery is mandatory as it is from the complications we learn most in cataract surgery.
1962年至1976年间，85只接受过白内障手术的眼睛被送交赫尔辛基大学眼科医院的眼科病理实验室。这些标本来自该国各个眼科部门。在这85只眼中，9只在术后2个月内被摘除眼球，而在64例中，眼球摘除是在术后12个月以上进行的。40只眼睛曾尝试进行老年性白内障手术，30只眼睛为外伤性白内障手术，其余病例为先天性白内障病例或已有青光眼或慢性葡萄膜炎眼中的白内障。导致眼球丧失的最常见原因与手术伤口愈合不完全或异常有关，如上皮内生以及房角关闭伴广泛的虹膜前粘连导致绝对青光眼。值得注意的是，所有上皮内生病例均始于观察期开始时。1969年后未出现新病例。其他重要原因是化脓性眼内炎和视网膜脱离。血色素沉着症是外伤性白内障组中的一个突出原因。对白内障手术后摘除的眼球进行仔细的组织病理学分析是必不可少的，因为我们从白内障手术的并发症中学到的最多。
