Eye Center of Northern Colorado PC, Fort Collins, Colorado, USA.
Ophthalmic Partners of PA, Bala Cynwyd, Pennsylvania, USA.
J Cataract Refract Surg. 2019 Feb;45(2):228-235. doi: 10.1016/j.jcrs.2018.09.029.
Posterior polar cataracts present a unique challenge for the cataract surgeon. This review describes the steps a surgeon can take to overcome these challenges for the successful phacoemulsification of the posterior polar cataract. Proper preoperative examination and diagnostics will allow appropriate preoperative counseling and surgical planning to increase the likelihood of success. Specific techniques for each stage of the procedure are described, all with the aim of protecting the posterior capsule and preserving intraocular lens (IOL) fixation options. Posterior polar cataracts present dilemmas in preoperative evaluation, surgical management, and IOL fixation.
后极性白内障给白内障手术医生带来了独特的挑战。本文介绍了手术医生可以采取的措施来克服这些挑战，成功实施后极性白内障的超声乳化术。适当的术前检查和诊断可以进行适当的术前咨询和手术规划，增加手术成功的可能性。描述了该手术各个阶段的具体技术，所有技术都旨在保护后囊并保留人工晶状体（IOL）固定选择。后极性白内障在术前评估、手术管理和 IOL 固定方面存在困境。
