Chrousos G A, Parks M M, O'Neill J F
Ophthalmology. 1984 Oct;91(10):1238-41. doi: 10.1016/s0161-6420(84)34161-6.
The eyes of 392 consecutive childhood cataract aspiration procedures were analysed for frequency of the development of chronic glaucoma and retinal detachment and the performance of secondary membrane surgery. Three different modifications of the aspiration procedure were employed: the standard needle and syringe procedure leaving the posterior capsule intact (304 eyes), rotoextraction with small opening of the posterior capsule (34 eyes) and Ocutome aspiration with wide excision of the posterior capsule (54 eyes). The mean postoperative follow-up was 5.5 years. Chronic glaucoma was found in 6.1% of the eyes. Coexisting ocular anomalies and retained lens cortex increased the risk for this complication. Retinal detachment was found in 1.5% of the cases. Coexisting ocular anomalies and uncontrolled vitreous disturbance increased the possibility of retinal detachment. Secondary membrane procedures were performed in 62% of the eyes in which the aspiration procedure left the posterior capsule intact, in nearly 12% of those in which the posterior capsule was minimally opened and in none of those which had the posterior capsule widely excised. The secondary membrane surgery itself appeared to increase the risk for both glaucoma and retinal detachment. The aspiration procedure with the lowest incidence for all three complications was the Ocutome aspiration with wide excision of the posterior capsule.
对连续392例儿童白内障抽吸手术的眼睛进行分析，以研究慢性青光眼和视网膜脱离的发生频率以及二期膜手术的情况。采用了三种不同的抽吸手术改良方法：标准针筒抽吸法，后囊膜完整保留（304只眼）；后囊膜小开口旋转摘除法（34只眼）；后囊膜广泛切除的Ocutome抽吸法（54只眼）。术后平均随访5.5年。6.1%的眼睛发生了慢性青光眼。并存的眼部异常和残留晶状体皮质增加了这种并发症的风险。1.5%的病例发生了视网膜脱离。并存的眼部异常和未控制的玻璃体紊乱增加了视网膜脱离的可能性。在抽吸手术保留后囊膜完整的眼睛中，62%进行了二期膜手术；在后囊膜小开口的眼睛中，近12%进行了二期膜手术；后囊膜广泛切除的眼睛中无一例进行二期膜手术。二期膜手术本身似乎增加了青光眼和视网膜脱离的风险。三种并发症发生率最低的抽吸手术是后囊膜广泛切除的Ocutome抽吸法。
