Kraff M C, Lieberman H L, Sanders D R
J Cataract Refract Surg. 1987 Jan;13(1):21-6. doi: 10.1016/s0886-3350(87)80004-4.
Two series of secondary intraocular lens implantations with anterior chamber lenses are reported. Series 1 consisted of our first 199 consecutive procedures using rigid or semi-rigid lenses, performed between May 1, 1977, and September 30, 1982. Series 2 consisted of our first 101 consecutive procedures using flexible lenses, performed between October 1, 1982, and October 30, 1984. Best-corrected final postoperative visual acuity was either better than or within one Snellen line of best-corrected preoperative vision in 84% of cases with rigid or semi-rigid lenses and in 85% of cases with flexible lenses. Surgical complications were minimal in both series. No instances of uveitis-glaucoma-hyphema syndrome were encountered. Endothelial cell loss was low. Because of the short follow-up in Series 2 and the fact that these groups were operated upon at different times, the two series are not directly comparable. Nonetheless, the results do show that secondary intraocular lens implantation is a viable alternative for aphakic patients, particularly those who are intolerant of aphakic spectacles and contact lenses. Certain provisos involving patient education and motivation as well as lens selection are noted in this report.
本文报告了两系列使用前房型人工晶状体的二期人工晶状体植入术。系列1包括1977年5月1日至1982年9月30日期间连续进行的首例199例使用硬性或半硬性人工晶状体的手术。系列2包括1982年10月1日至1984年10月30日期间连续进行的首例101例使用软性人工晶状体的手术。在使用硬性或半硬性人工晶状体的病例中，84%的患者术后最佳矫正视力优于术前最佳矫正视力或与术前最佳矫正视力相差在一行以内；在使用软性人工晶状体的病例中，这一比例为85%。两系列手术的并发症均很少。未出现葡萄膜炎-青光眼-前房积血综合征的病例。内皮细胞丢失率较低。由于系列2的随访时间较短，且这些患者组在不同时间接受手术，因此这两个系列不具有直接可比性。尽管如此，结果确实表明，二期人工晶状体植入术是无晶状体患者的一种可行选择，特别是那些不耐受无晶状体眼镜和隐形眼镜的患者。本报告中指出了一些涉及患者教育、积极性以及人工晶状体选择的注意事项。
