Apple D J, Lichtenstein S B, Heerlein K, Letchinger S L, Park R B, Brems R N, Piest K L
J Cataract Refract Surg. 1987 Jul;13(4):431-5. doi: 10.1016/s0886-3350(87)80046-9.
A 58-year-old airline pilot had cataract surgery with implantation of a posterior chamber intraocular lens with four positioning holes around the optic edge. During periods of maximum pupil dilation, such as at night, visual aberrations including glare, monocular diplopia, and haloes occurred and he was unable to work in his occupation. The symptoms were severe enough that lens exchange was required, and a posterior chamber lens with no positioning holes was successfully implanted. The symptoms immediately subsided postoperatively and his last known visual acuity was 20/15. This case, and the report of another patient with similar postoperative problems, illustrates that implantation of lens optics with a larger effective optical zone for posterior chamber lens implantation is desirable. This is particularly true now that younger, more active patients, many still engaged in occupations, are having lens implantations.
一名58岁的航空公司飞行员接受了白内障手术，植入了一枚后房型人工晶状体，该晶状体在光学边缘周围有四个定位孔。在瞳孔最大程度扩张期间，比如在夜间，会出现包括眩光、单眼复视和光晕在内的视觉像差，导致他无法从事本职工作。症状严重到需要更换晶状体，最终成功植入了一枚没有定位孔的后房型晶状体。术后症状立即消退，他最后一次已知的视力为20/15。该病例以及另一例有类似术后问题患者的报告表明，植入具有更大有效光学区的晶状体光学部对于后房型晶状体植入是可取的。鉴于现在有更多年轻、活动量较大的患者（其中许多人仍在工作）接受晶状体植入手术，这一点尤为重要。
