Kern R
Klin Monbl Augenheilkd. 1985 Jun;186(6):468-70. doi: 10.1055/s-2008-1050961.
The aim of every cataract operation is optical rehabilitation. With the greater social demands made today by aphakic and pseudophakic patients, the recognition and treatment of diseases with early or late onset after cataract extraction assumes greater importance. The early aims are rapid mobilization, complete absence of irritation, and normalization of pressure. Regular administration of corticosteroids, essential in the post-operative treatment of pseudophakia, may mask a bacterial or mycotic infection. The sole indication for removal of an implant is the uveitis-glaucoma-hyphema syndrome. The prevention and treatment of cystoid macular edema is discussed: whether or not the posterior lens capsule is intact seems to play a major role in the pathogenesis of this early or late complication in both aphakia and pseudophakia.
每例白内障手术的目的都是实现视力康复。鉴于当今无晶状体眼和人工晶状体眼患者提出了更高的社会需求，白内障摘除术后早发或迟发疾病的识别与治疗显得愈发重要。早期目标是快速恢复活动能力、完全消除刺激以及眼压正常化。在人工晶状体术后治疗中至关重要的皮质类固醇的常规使用，可能会掩盖细菌或真菌感染。取出植入物的唯一指征是葡萄膜炎-青光眼-前房积血综合征。文中讨论了囊样黄斑水肿的预防和治疗：后囊膜是否完整似乎在无晶状体眼和人工晶状体眼这一早发或迟发并发症的发病机制中起主要作用。
