Wyględowska-Promieńska Dorota, Jaworski Marcin, Kozieł Kamila, Packard Richard
Department of Ophthalmology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Department of Ophthalmology, The University Clinical Centre Prof. Kornel Gibiński, Medical University of Silesia, Katowice, Poland.
Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):12-18. doi: 10.5114/wiitm.2019.81313. Epub 2019 Jan 16.
The paper describes the development of the anterior capsulotomy from its early crude beginnings in the 18 century to the possibility of automated surgery today via continuous curvilinear capsulorhexis (CCC). The reasons for the opening of the capsule have changed from a roughly made tear to allow access to the nucleus for its extraction, to the creation of more regular openings to allow support for intraocular lenses. With the development of continuous circular tears it was possible to be certain to contain the intraocular lens (IOL) in the capsular bag. In recent times we have the ability to achieve precision in size and location with lasers and other technologies. This means the capsulotomy can be used to hold the IOL, which will improve the centration of the optic. This is important in premium lenses and should improve predictability of the effective lens position. All of these changes will be highlighted with appropriate illustrations.
本文描述了前囊切开术从18世纪早期粗糙的开端发展到如今通过连续环形撕囊术（CCC）实现自动化手术的可能性。打开晶状体囊的原因已从最初为了取出晶状体核而进行的粗糙撕裂，转变为创造更规则的开口以支撑人工晶状体。随着连续环形撕裂技术的发展，可以确保将人工晶状体（IOL）置于囊袋内。近年来，我们能够借助激光和其他技术在尺寸和位置上实现精确控制。这意味着囊切开术可用于固定人工晶状体，从而改善光学中心定位。这在高端晶状体中很重要，并且应该能提高有效晶状体位置的可预测性。所有这些变化都将通过适当的图示进行重点说明。
