Kraff M C, Sanders D R, Lieberman H L
Ophthalmology. 1979 Apr;86(4):643-53. doi: 10.1016/s0161-6420(79)35491-4.
In a study of 613 Medallion suture implant patients, 87% of the 613 and 96% of those under 70 years of age had a postoperative visual acuity of 20/40 or better. The most common operative complication was corneal endothelial trauma, which was graded and correlated with endothelial microscopy; however, only 0.5% of cases had permanent corneal opacification. Cystoid macular edema occurred in 32 cases (5.2%), and 56% (18) of these patients regained 20/40 vision or better. Implant loop subluxation occurred in 19 cases (3.1%), but this incidence should decrease by increasing implant loop tip-to-tip distance. The data presented put in perspective the relative importance of the various complications encountered, with primary emphasis on the management of these complications.
在一项针对613例Medallion缝线植入患者的研究中，613例患者中的87%以及70岁以下患者中的96%术后视力达到20/40或更好。最常见的手术并发症是角膜内皮损伤，对其进行了分级并与内皮显微镜检查相关联；然而，只有0.5%的病例出现永久性角膜混浊。32例（5.2%）发生了黄斑囊样水肿，其中56%（18例）患者视力恢复到20/40或更好。19例（3.1%）发生了植入环半脱位，但通过增加植入环尖端到尖端的距离，这一发生率应会降低。所呈现的数据从不同角度说明了所遇到的各种并发症的相对重要性，主要重点在于这些并发症的处理。
