Shepard D D
Ophthalmic Surg. 1979 Dec;10(12):58-60.
The author removed 26 intraocular lenses in a series of 800 implantations (3.25%). The factors leading to lens removal and the clinical and visual end-results are analyzed and presented in tabular form. The most common factors leading to lens removal were: corneal edema, cystoid macular edema, uveitis, vitreitis, iris erosion/laceration, recurrent dislocation, updrawn pupil, glaucoma and blunt injury. Post-removal complications were: poor wound healing, high astigmatism, amblyopia, cystoid macular edema, retinal vascular occlusion, optic atrophy and phthisis bulbi. The average length of time between lens implantation and removal was 18 months. The vitreous loss rate was 35% during lens removal. On the average, an eye gained two Snellen lines of vision following removal of the offending lens; 69% had the same or better vision post-removal, and 64% of eyes with corneal edema/dystrophy improved.
在800例人工晶状体植入手术中，作者取出了26枚人工晶状体（3.25%）。分析了导致晶状体取出的因素，并以表格形式呈现了临床和视觉最终结果。导致晶状体取出的最常见因素有：角膜水肿、黄斑囊样水肿、葡萄膜炎、玻璃体炎、虹膜糜烂/撕裂、反复脱位、瞳孔上移、青光眼和钝挫伤。取出后的并发症有：伤口愈合不良、高度散光、弱视、黄斑囊样水肿、视网膜血管阻塞、视神经萎缩和眼球痨。晶状体植入与取出之间的平均时间为18个月。晶状体取出期间玻璃体丢失率为35%。平均而言，取出有问题的晶状体后，患眼视力提高了两行Snellen视力表视标；69%的患者取出后视力相同或更好，64%有角膜水肿/营养不良的患眼视力得到改善。
