Benezra D, Chirambo M C
Br J Ophthalmol. 1978 Nov;62(11):770-3. doi: 10.1136/bjo.62.11.770.
Cataract extraction was performed on 734 patients. These were followed up postoperatively for up to 1 year. In 448 cases the extraction was performed in both eyes during 1 operating session (896 eyes) and in 1 eye in 286 cases, a total of 1182 cataract extractions. Preoperatively more than 75% of the eyes in both groups had perception of light only. Postoperatively more than 85% of eyes in both groups achieved a visual acuity of 6/30 or better. The postoperative visual performance of an eye was not influenced by the mode of operation, bilateral or unilateral. The overall incidence of complications among the 1182 operated eyes was: accidental extra-capsular cataract extraction 10.2%, vitreous loss 11.0%, hyphaema 1.4%, flat anterior chamber 0.9%, dehiscence of the wound 0.5%, uveitis 1.2%, endophthalmitis 0.3%, secondary glaucoma 0.9%, severe bullous keratopathy 1.4%, oedema of the macula 0.5%, and retinal detachment 0.3%. The complications in both groups of patients were comparable. Only in 1 case operated in both eyes vision was not restored following a bilateral endophthalmitis.
对734例患者实施了白内障摘除术。术后对这些患者进行了长达1年的随访。448例患者在1次手术中双眼进行了摘除（896只眼），286例患者单眼进行了摘除，共进行了1182次白内障摘除术。术前两组中超过75%的眼睛仅能感知光线。术后两组中超过85%的眼睛视力达到6/30或更好。一只眼睛的术后视觉表现不受双侧或单侧手术方式的影响。1182只手术眼中并发症的总体发生率为：意外囊外白内障摘除10.2%，玻璃体丢失11.0%，前房积血1.4%，无前房0.9%，伤口裂开0.5%，葡萄膜炎1.2%，眼内炎0.3%，继发性青光眼0.9%，严重大泡性角膜病变1.4%，黄斑水肿0.5%，视网膜脱离0.3%。两组患者的并发症情况相当。仅1例双眼手术患者在发生双侧眼内炎后视力未恢复。
