Skuta G L, Parrish R K, Hodapp E, Forster R K, Rockwood E J
Arch Ophthalmol. 1987 May;105(5):632-4. doi: 10.1001/archopht.1987.01060050050035.
Five patients with pseudoexfoliation syndrome (PES) and glaucoma developed extensive zonular dialyses during extracapsular cataract extractions. Weakness of the lens zonules or their attachments to the ciliary processes, which has been described in association with PES, may explain this complication. We believe that patients with PES are at particular risk for developing large zonular dialyses during extracapsular surgery. Preoperative phakodonesis, anterior chamber depth asymmetry, and excessive lens movement during the anterior capsulotomy should alert the surgeon to this problem.
5例假性剥脱综合征（PES）合并青光眼患者在白内障囊外摘除术中发生广泛的晶状体悬韧带断裂。与PES相关的晶状体悬韧带或其与睫状体附着处的薄弱可能解释了这一并发症。我们认为，PES患者在白内障囊外手术中发生大范围晶状体悬韧带断裂的风险尤其高。术前晶状体震颤、前房深度不对称以及前囊切开术中晶状体过度移动应提醒手术医生注意这一问题。
