Pe'er J, Savino D F, McLean I W, Zimmerman L E
Am J Ophthalmol. 1986 Apr 15;101(4):458-60. doi: 10.1016/0002-9394(86)90647-1.
Of 650 eyes with posterior uveal melanomas that were accessioned at the Armed Forces Institute of Pathology from 1975 to 1983, 28 were aphakic and eight were pseudophakic. In ten of these 36 cases, the cataract had been unilateral. Only two patients had been examined with preoperative A-scan ultrasonography to obtain the axial length of the eye. None of the patients had been examined for possible intraocular tumors by either A- or B-scan ultrasonography. We believe that in many of these cases the tumor was large enough to have been detected at the time of cataract surgery. Thus, if the lens is too opaque for the fundus to be viewed, B-scan ultrasonography should be used before cataract extraction.
1975年至1983年间，美国武装部队病理研究所收录了650例后葡萄膜黑色素瘤患者的眼部病例，其中28例为无晶状体眼，8例为人工晶状体眼。在这36例病例中，有10例白内障为单侧性。仅有2例患者在术前接受了A超超声检查以测量眼轴长度。所有患者均未接受A超或B超超声检查以排查眼内肿瘤。我们认为，在许多此类病例中，肿瘤已足够大，在白内障手术时本应能够被发现。因此，如果晶状体混浊严重，无法看清眼底，则应在白内障摘除术前进行B超超声检查。
