Newman D A, McIntyre D J, Apple D J, Deacon J, Popham J K, Isenberg R
J Cataract Refract Surg. 1986 May;12(3):292-7. doi: 10.1016/s0886-3350(86)80016-5.
We present a clinicopathological analysis of an explanted STAAR model B silicone intraocular lens (IOL) that was sent to the Center for Intraocular Lens Research for evaluation. Extracapsular cataract extraction (ECCE), using phacoemulsification and insertion of the silicone IOL, had been accomplished through a 3-mm scleral tunnel incision. The IOL was folded and inserted into the ciliary sulcus. Complications, including blurred vision, movement of the IOL within the eye, and glaucoma, eventually led to IOL exchange at three months post-ECCE. After removal of the silicone IOL, a modified J-loop IOL was placed in the intact capsular bag, with subsequent resolution of the increased intraocular pressure and a 20/20 + 3 visual acuity. Pathologic examination of the explanted silicone lens revealed grooves indented into the optic, extensive molding flash, and opalescence of the optic.
我们展示了一个被摘除的STAAR B型硅凝胶人工晶状体（IOL）的临床病理分析，该晶状体被送到人工晶状体研究中心进行评估。采用超声乳化术进行囊外白内障摘除术（ECCE）并植入硅凝胶IOL，手术通过一个3毫米的巩膜隧道切口完成。IOL被折叠并植入睫状沟。包括视力模糊、IOL在眼内移位以及青光眼在内的并发症最终导致在ECCE术后三个月进行IOL置换。摘除硅凝胶IOL后，将一个改良的J袢IOL植入完整的囊袋内，随后眼压升高情况得到缓解，视力达到20/20 + 3。对摘除的硅凝胶晶状体进行病理检查发现，晶状体光学部有凹槽、大量模塑飞边以及光学部呈乳白色。
