Poleski S A, Willis W E
Ophthalmology. 1984 Jul;91(7):838-40. doi: 10.1016/s0161-6420(84)34229-4.
Twenty-eight eyes were followed prospectively by goniophotography after cataract surgery. Ten had no intraocular lens (IOL), ten had the "Azar 91Z" lens implanted and eight had the Cilco "Optiflex" lens inserted. Iris-haptic synechia or burial occurred in 9 of 10 of the "91Z" group and three of eight of the "Optiflex" lenses. These changes developed predominantly in the inferior angle and were seen as soon as 4 weeks postoperatively. Based on this data, preoperative gonioscopy is recommended prior to removal of these IOLs. Cutting buried haptics and leaving them within iris stroma may be a safe surgical alternative which avoids undue trauma to the anterior segment.
28只眼睛在白内障手术后通过前房角照相术进行前瞻性随访。10只未植入人工晶状体（IOL），10只植入了“Azar 91Z”晶状体，8只植入了Cilco“Optiflex”晶状体。“91Z”组10只眼中有9只出现虹膜袢粘连或包埋，“Optiflex”晶状体8只眼中有3只出现这种情况。这些改变主要发生在下象限，术后4周即可见到。基于这些数据，建议在取出这些人工晶状体之前进行术前前房角镜检查。切断包埋的袢并将其留在虹膜基质内可能是一种安全的手术选择，可避免对眼前节造成过度创伤。
