Leatherbarrow B, Trevett A, Tullo A B
B. Leatherbarrow Royal Eye Hospital, Manchester.
Eye (Lond). 1988;2 ( Pt 4):370-5. doi: 10.1038/eye.1988.68.
A retrospective study of 79 secondary intraocular lens implants performed during 1984-87 in a large teaching hospital is reported. The period of follow-up ranged from 6 months to 3.9 years (mean 16.6 months). The principal indication for surgery was contact lens intolerance. Thirty-four per cent of the patients had previously undergone cataract surgery with implantation of the other eye. Eighty-three per cent of the patients achieved a visual acuity within one Snellen line of best-corrected preoperative visual acuity. A further 2.5% lost two lines of Snellen chart acuity, and 14.5% had a substantial reduction in visual acuity. We conclude that in carefully selected patients secondary intraocular lens implantation is an acceptable and often highly successful way of treating monocular aphakia and we discuss the selection and preoperative investigation of such patients.
本文报道了1984年至1987年期间在一家大型教学医院进行的79例二期人工晶状体植入术的回顾性研究。随访时间为6个月至3.9年（平均16.6个月）。手术的主要指征是不耐受隐形眼镜。34%的患者此前曾接受过另一只眼的白内障手术并植入了人工晶状体。83%的患者术后视力达到术前最佳矫正视力的一个斯内伦视力表行数范围内。另有2.5%的患者视力下降了两个斯内伦视力表行数，14.5%的患者视力大幅下降。我们得出结论，在精心挑选的患者中，二期人工晶状体植入术是治疗单眼无晶状体眼的一种可接受且通常非常成功的方法，我们还讨论了此类患者的选择和术前检查。
