Treumer H
Klin Monbl Augenheilkd. 1979 Dec;175(6):811-21.
Silicone contact lenses were fitted postoperatively to 114 aphakic eyes (55 children, 59 adults) and followed up for a maximum of 2 years. Provided they were fitted carefully the lenses were well tolerated for surprisingly long periods of time. Complications observed were superficial ulcer in 2 cases and circumscribed corneal infiltration in 3 cases and circumscribed corneal infiltration in 3 cases and circumscribed corneal infiltration in 3 cases. Corneal vascularization was not found. Postoperative vision was good, corneal astigmatism being reduced by 0.87 D on average. The main problems were deposition of organic material and in some cases poor hydrophilic properties of the lenses. Constant lens mobility is essential for long-term tolerance and avoidance of complications. At present it is recommended that the use of permanent-wear silicone lenses be restricted to special indications.
术后为114只无晶状体眼（55名儿童，59名成人）佩戴了硅水凝胶隐形眼镜，并进行了最长2年的随访。只要佩戴仔细，这些镜片在很长一段时间内耐受性良好。观察到的并发症有2例浅表溃疡、3例局限性角膜浸润。未发现角膜血管化。术后视力良好，角膜散光平均降低0.87 D。主要问题是有机物质沉积，在某些情况下镜片亲水性差。镜片持续活动对于长期耐受性和避免并发症至关重要。目前建议永久性佩戴硅水凝胶镜片仅限于特殊适应症。
