Cohen J S, Osher R H, Weber P, Faulkner J D
Ophthalmology. 1984 Jul;91(7):826-30. doi: 10.1016/s0161-6420(84)34231-2.
With the increased popularity of extracapsular cataract surgery, the need for a peripheral iridectomy has been questioned. Some surgeons feel that the risks involved in performing the iridectomy are greater than when leaving the iris untouched. The indications and risks of iridectomy with cataract surgery are discussed. Four case reports are presented. In three cases, iridectomy was not performed with cataract surgery, and a pupillary block developed. In one of these three, a congenital cataract, secondary angle closure, developed requiring filtering surgery. In the fourth case, an iridectomy prevented serious complications from an unusual degree of postoperative inflammation with complete posterior synechia following uneventful cataract surgery.
随着囊外白内障手术的日益普及，周边虹膜切除术的必要性受到了质疑。一些外科医生认为，进行虹膜切除术所涉及的风险比不触动虹膜时更大。本文讨论了白内障手术中虹膜切除术的适应证和风险。并给出了四个病例报告。其中三例在白内障手术时未进行虹膜切除术，结果发生了瞳孔阻滞。在这三例中的一例，先天性白内障继发房角关闭，需要进行滤过手术。第四例中，虹膜切除术预防了白内障手术顺利完成后因异常程度的术后炎症伴完全后粘连而导致的严重并发症。
