Langston R H
Int Ophthalmol Clin. 1982 Summer;22(2):189-201. doi: 10.1097/00004397-198202220-00012.
While the chances of corneal decompensation following lens implantation are low, they are greater than in nonimplant cataract surgery and increase with the passage of time postoperatively. All the factors leading to corneal decompensation are not known, but available evidence suggests the most significant is trauma at the time of surgery. The likelihood of corneal decompensation can be limited by careful patient selection and surgical techniques and by appropriate management of postoperative complications. In the event of irreversible corneal decompensation, penetrating keratoplasty, with or without removal of the implant lens, offers a substantial chance of visual rehabilitation.
虽然晶状体植入术后发生角膜失代偿的几率较低，但比非植入性白内障手术的几率要高，且会随着术后时间的推移而增加。导致角膜失代偿的所有因素尚不清楚，但现有证据表明，最重要的因素是手术时的创伤。通过仔细的患者选择、手术技术以及对术后并发症的适当处理，可以限制角膜失代偿的可能性。如果发生不可逆的角膜失代偿，无论是否取出植入晶状体，穿透性角膜移植术都提供了相当大的视力恢复机会。
