Alpar J J
J Cataract Refract Surg. 1986 Jul;12(4):391-3. doi: 10.1016/s0886-3350(86)80102-x.
On-the-table posterior capsulotomies were performed in 38 patients with a 30-gauge bent needle behind a bag-fixated posterior chamber J-loop lens with 10-degree angled loops. Ten of the patients (26.30%) developed fluorescein cystoid macular edema (CME) and four patients (10.52%) developed clinical CME within three months. A similar procedure was performed on 36 patients who received 1% sodium hyaluronate (Healon) between the posterior capsule and the vitreous prior to completion of the capsulotomy. One of these patients (2.78%) developed fluorescein CME within three months. In this investigation, no topical indomethacin eyedrops were used. The results seem to indicate that by maintaining a space between the posterior capsule and the anterior hyaloid membrane 1% sodium hyaluronate prevented the development of CME in a significant number of cases. This adds support to the theory that it is the anterior hyaloid membrane that protects the posterior segment of the eye.
对38例患者在植入了带10度角袢的囊袋固定后房型J袢人工晶状体的情况下，用30号弯针在手术台上进行后囊切开术。其中10例患者（26.30%）在三个月内出现了荧光素染色的黄斑囊样水肿（CME），4例患者（10.52%）在三个月内出现了临床CME。对36例患者在完成后囊切开术前，于后囊与玻璃体之间注入1%透明质酸钠（Healon）后进行了类似的操作。这些患者中有1例（2.78%）在三个月内出现了荧光素染色的CME。在本研究中，未使用局部吲哚美辛滴眼液。结果似乎表明，通过在后囊与前玻璃体膜之间维持一个间隙，1%透明质酸钠在相当多的病例中可预防CME的发生。这为前玻璃体膜保护眼后段这一理论提供了支持。
