Tennant J L
Int Ophthalmol Clin. 1979 Fall;19(3):195-209. doi: 10.1097/00004397-197901930-00015.
The following points should be considered regarding removal of an IOL: 1. Be sure that it is an offending agent and not an innocent bystander before deciding to remove it. 2. An offending IOL may usually be replaced with an anterior chamber lens, with excellent results. 3. Removal of an IOL is usually a difficult procedure in less-than-satisfactory circumstances, and should be undertaken only by an experienced implant surgeon, with special attention to the delicate nature of the patient's eye and emotional feelings about this dilemma. 4. Every effort should be made to perform maneuvers in a closed system with minimal opening and folding of the cornea and minimal irrigation of the anterior chamber. 5. An offending IOL should be removed and replaced with an appropriate lens before irreversible damage has been done to the eye, if at all possible.
关于人工晶状体（IOL）的取出，应考虑以下几点：1. 在决定取出之前，要确保它是致病因素而非无辜旁观者。2. 通常可将有问题的人工晶状体替换为前房型人工晶状体，效果良好。3. 在不太理想的情况下，取出人工晶状体通常是一个困难的操作，应由经验丰富的植入手术医生进行，尤其要注意患者眼睛的 delicate 性质以及对此困境的情绪感受。4. 应尽一切努力在封闭系统中进行操作，尽量减少角膜的打开和折叠以及前房的冲洗。5. 如果可能的话，应在眼睛受到不可逆转的损害之前取出有问题的人工晶状体并更换为合适的晶状体。
