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[人晶状体悬韧带的抗张强度及其随年龄的变化(作者译)]

[The tensile strength of human zonule and its alteration with age (author's transl)].

作者信息

Buschmann W, Linnert D, Hofmann W, Gross A

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1978 May 16;206(3):183-90. doi: 10.1007/BF00414745.

Abstract

A series of 91 cryoextractions was performed on autopsy material. The scleral section was placed near to the chamber angle and was nearly circumferential (about 330 degrees). Cornea and adjacent sclera could be flapped over this way, and did not interfere with a straightforward lens extraction. The pupil was medically dilated. A cryoprobe was fixed to a specially constructed scale, and frozen to the anterior pole of the lens. Its weight was counterbalanced by a plastic water container at the other end of the scale. The extraction was performed by filling additional water into the counterbalancing container. The statistical evaluation of the results showed a very significant dependence of the average tensile strength on age. However, a considerable standard deviation was found throughout all ages. The nutritional state of the autopsy bodies and the time interval between death and start of the measurement had no significant influence. The differences between right and left eyes were also not significant, as could be expected. The methodological error remained small. Age proved to be an unreliable indicator for the tensile strength of the zonule. All results apply to clear lenses. We known from clinical experience that the tenacity of the zonule may also be different in the various types of cataract.

摘要

对尸检材料进行了一系列91次冷冻摘除术。巩膜切片放置在房角附近,几乎呈圆周状(约330度)。通过这种方式可以将角膜和相邻巩膜翻开,且不影响直接进行晶状体摘除。药物散瞳。将冷冻探头固定在特制的秤上,冷冻至晶状体前极。秤另一端的塑料水容器平衡其重量。通过向平衡容器中添加更多水来进行摘除。结果的统计评估显示,平均抗张强度与年龄有非常显著的相关性。然而,在所有年龄段都发现了相当大的标准差。尸检尸体的营养状况以及死亡与测量开始之间的时间间隔没有显著影响。正如预期的那样,左右眼之间的差异也不显著。方法学误差仍然很小。年龄被证明是晶状体悬韧带抗张强度的不可靠指标。所有结果均适用于透明晶状体。我们从临床经验中知道,在各种类型的白内障中,晶状体悬韧带的韧性也可能不同。

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