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囊外白内障摘除术——一些问题。

Extracapsular cataract extraction - some problems.

作者信息

Smith R J, Doran R, Caswell A

出版信息

Br J Ophthalmol. 1982 Mar;66(3):183-5. doi: 10.1136/bjo.66.3.183.

DOI:10.1136/bjo.66.3.183
PMID:7066270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1039749/
Abstract

Comments are made on the method of removing the anterior capsule during the performance of extracapsular cataract operations. The difficulty of performing this manoeuvre adequately is emphasised. Observations carried out during the postoperative period by means of the slit-lamp revealed some hitherto undescribed changes in the capsule. The edge of the anterior capsule can be clearly seen and looks like broken glass. Fine fibrils have been observed attached to the fractured capsular edge. In the early postoperative period the anterior capsule tends to be separated from the posterior by quite a deep space, but at an early stage, usually about the fourth day, the edge of the anterior capsule becomes adherent to the posterior capsule, and rather rapidly a dense fibrous line forms along the joint.

摘要

本文对囊外白内障手术中前囊膜摘除方法进行了评论。强调了充分实施该操作的难度。术后通过裂隙灯进行的观察揭示了囊膜中一些此前未被描述的变化。前囊膜边缘清晰可见,看起来像破碎的玻璃。已观察到细小纤维附着在破裂的囊膜边缘。术后早期,前囊膜往往与后囊膜被一个相当深的间隙分隔开,但在早期阶段,通常大约在第四天,前囊膜边缘会与后囊膜粘连,并且很快会沿着连接处形成一条致密的纤维线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/51f50905499e/brjopthal00171-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/dd47ae503cbf/brjopthal00171-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/d02899f131cb/brjopthal00171-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/242283a70694/brjopthal00171-0052-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/7c000b3673aa/brjopthal00171-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/51f50905499e/brjopthal00171-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/dd47ae503cbf/brjopthal00171-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/d02899f131cb/brjopthal00171-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/242283a70694/brjopthal00171-0052-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/7c000b3673aa/brjopthal00171-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/1039749/51f50905499e/brjopthal00171-0053-b.jpg

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1
Extracapsular cataract extraction - some problems.囊外白内障摘除术——一些问题。
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2
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引用本文的文献

1
Posterior capsulotomy and retinal detachment following extracapsular lens surgery.囊外晶状体手术后的后囊切开术与视网膜脱离
Br J Ophthalmol. 1984 Jun;68(6):379-82. doi: 10.1136/bjo.68.6.379.
2
The ring of Soemmerring in the rabbit: A scanning electron microscopic study.兔眼索默林环:扫描电子显微镜研究
Graefes Arch Clin Exp Ophthalmol. 1985;223(3):111-20. doi: 10.1007/BF02148886.
3
Pathogenesis of pupillary capture after posterior chamber intraocular lens implantation.后房型人工晶状体植入术后瞳孔捕获的发病机制。

本文引用的文献

1
On a new method to cure cataract by extraction of the lens.论一种通过晶状体摘除术治疗白内障的新方法。
Br J Ophthalmol. 1967 Jul;51(7):449-58. doi: 10.1136/bjo.51.7.449.
2
Cataract emulsification and aspiration.白内障乳化吸出术
Trans Ophthalmol Soc U K (1962). 1970;90:13-22.
3
The ultra-sonic technique for cataract removal.用于白内障摘除的超声技术。
Br J Ophthalmol. 1986 Dec;70(12):886-9. doi: 10.1136/bjo.70.12.886.
Trans Ophthalmol Soc U K (1962). 1973;93(0):33-8.