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[经睫状体扁平部入路晶状体摘除术的适应证及结果]

[Indications and results of lens removal using the pars plana approach].

作者信息

Weidle E G, Thiel H J, Soldner K

出版信息

Klin Monbl Augenheilkd. 1985 Jan;186(1):7-12. doi: 10.1055/s-2008-1050863.

Abstract

Pars plana lensectomy has both advantages and disadvantages. Therefore, a differentiated indication is required. This procedure can be regarded as the method of choice in traumatic cataracts when there is simultaneously endothelial damage of the cornea and a subluxated lens (following injury with contusion or perforation). Relative indications are for subluxated lenses without endothelial damage, for cataracts with endothelial but not vitreous problems, for cataracts with chronic uveitis, and for undilatable pupils. Anatomical and functional results - as far as they could be determined in the patients treated by the present authors - are excellent.

摘要

扁平部晶状体切除术既有优点也有缺点。因此,需要有区别地掌握适应证。当角膜同时存在内皮损伤和晶状体半脱位(挫伤或穿孔伤后)时,该手术可被视为外伤性白内障的首选方法。相对适应证包括无内皮损伤的晶状体半脱位、有内皮问题但无玻璃体问题的白内障、慢性葡萄膜炎性白内障以及瞳孔无法散大的情况。就本作者治疗的患者所能确定的解剖和功能结果而言,效果极佳。

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