Baumann H E, Schönenberger H
Klin Monbl Augenheilkd. 1979 Jun;174(6):898-900.
The implantation of an intraocular lens is an almost ideal solution to manage monocular cataracts. We recommend this operation if medically indicated; it is technically more difficult, needs microsurgical skill and general anesthesia and therefore should be limited to a reduced number of highly qualified operation-teams. Uncontrolled enlargement of indications will result in higher complication-rates. As we do not yet know on complications due to alteration of foreign intraocular material after many years, we rather prefer to operate double-sided cataracts in the conventional way, specially in younger patients. Regarding to the global problems of curable (operable) blindness, we think that young eye-surgeons should be trained for conventional cataract operations without using microscope.
人工晶状体植入术几乎是治疗单眼白内障的理想解决方案。如果有医学指征，我们推荐这种手术；该手术技术难度更大，需要显微外科技术和全身麻醉，因此应限于少数高素质的手术团队。无节制地扩大手术指征会导致更高的并发症发生率。由于我们尚不清楚多年后眼内异物材料改变所引发的并发症情况，所以我们更倾向于用传统方法治疗双侧白内障，尤其是年轻患者。鉴于可治愈（可手术）失明的全球性问题，我们认为年轻的眼科医生应接受不使用显微镜的传统白内障手术培训。
