Goldberg M F
Ophthalmology. 1987 May;94(5):571-82. doi: 10.1016/s0161-6420(87)33425-6.
Optional surgery requires a higher degree of safety than that performed for medical necessity. This ethical principle is particularly applicable to axial myopes, who have higher-than-normal rates of operative and postoperative complications if they undergo lens extraction. Moreover, several noninvasive, extraocular, and reversible techniques now exist for the correction of myopia. Currently, it would appear that the possible optical benefits of clear lens extraction in axial myopia are usually outweighed by the severity of the risks and by the availability of safer alternatives.
选择性手术需要比因医疗需要而进行的手术更高的安全程度。这一伦理原则特别适用于轴性近视患者，他们如果接受晶状体摘除术，手术中和术后并发症的发生率高于正常水平。此外，现在有几种非侵入性、眼外和可逆的技术可用于矫正近视。目前，对于轴性近视而言，透明晶状体摘除术可能带来的光学益处似乎通常被风险的严重性以及更安全替代方法的可用性所抵消。
