Matthäus W
Klin Monbl Augenheilkd. 1984 Oct;185(4):253-8. doi: 10.1055/s-2008-1054609.
The author reports on the results of cryoextraction of dislocated lenses in 248 cases (74 cases of severe subluxation, 88 lenses dislocated to the middle of the vitreous body, 67 lenses lying on the retina, 19 lenses dislocated into the anterior chamber). In most of the cases the cause was a contusion of the eye. A self-made cryosurgery unit with fiber optic accessories for examining the vitreous body is described. The only serious complication of cryoextraction was retinal detachment (8%). The affected eyes had, as a rule, already suffered considerable damage due to trauma. In most of the cases it was possible to achieve good (1.25-0.5) to reasonable (0.4-0.1) visual acuity. It is argued that removal of the dislocated lens should not be postponed for as long as possible, as has been the practice hitherto; the operation should be performed without delay, while the destruction of the vitreous body is still circumscribed and before any adhesions have appeared between the lens and the retina.
作者报告了248例脱位晶状体冷冻摘除术的结果（74例严重半脱位，88个晶状体脱位至玻璃体中部，67个晶状体位于视网膜上，19个晶状体脱位至前房）。大多数病例的病因是眼部挫伤。描述了一种自制的带有用于检查玻璃体的光纤附件的冷冻手术设备。冷冻摘除术唯一严重的并发症是视网膜脱离（8%）。受累眼睛通常已因外伤遭受了相当大的损害。在大多数病例中，视力可达到良好（1.25 - 0.5）至尚可（0.4 - 0.1）。有人认为，脱位晶状体的摘除不应像迄今为止的做法那样尽可能长时间推迟；手术应毫不延迟地进行，此时玻璃体的破坏仍局限，且晶状体与视网膜之间尚未出现任何粘连。
