McDonnell P J, Green W R, Maumenee A E, Iliff W J
Ophthalmology. 1983 Apr;90(4):386-403. doi: 10.1016/s0161-6420(83)34558-9.
Thirty-three pseudophakic eyes from 29 patients were examined postmortem. Clinically, 25 of the eyes had had visual acuities of 20/50 or better. In general the intraocular lenses (IOLs) were quite well tolerated. Iris atrophy and erosion were prominent features of eyes containing an anterior chamber, iris fixation, or iridocapsular lens. Angle recession and ciliary-body erosion were found in some eyes with anterior chamber lenses. Ciliary-body erosion by haptics was seen with posterior chamber lenses. Pupillary membranes were present in eight eyes. Granulomatous reaction to IOL material was present in 13 eyes. Usually this was localized to the site of the lens haptic, and was consistent with good visual acuity. One eye with a posterior chamber lens had been successfully treated for Staphylococcus epidermidis endophthalmitis after capsulotomy, shortly before death. Central corneal endothelial cell loss seemed to be of similar amount for the anterior chamber, iris fixation, and iridocapsular lenses, but was less severe in eyes with posterior chamber lenses. Cystoid macular edema was present in five eyes, retinal phlebitis in two eyes, and retinal detachments in four eyes.
对29例患者的33只假晶状体眼进行了尸检。临床上，其中25只眼的视力为20/50或更好。总体而言，人工晶状体（IOL）的耐受性相当良好。虹膜萎缩和糜烂是含有前房、虹膜固定或虹膜囊膜晶状体的眼睛的突出特征。在一些前房型人工晶状体眼中发现了房角后退和睫状体糜烂。后房型人工晶状体可见袢引起的睫状体糜烂。8只眼中存在瞳孔膜。13只眼中出现了对IOL材料的肉芽肿反应。通常这种反应局限于晶状体袢的部位，且与良好的视力一致。一只植入后房型人工晶状体的眼睛在死亡前不久行囊切开术后成功治疗了表皮葡萄球菌性眼内炎。前房型、虹膜固定型和虹膜囊膜型人工晶状体的中央角膜内皮细胞丢失量似乎相似，但后房型人工晶状体眼的情况较轻。5只眼中存在黄斑囊样水肿，2只眼中存在视网膜静脉炎，4只眼中存在视网膜脱离。
