Kincaid M C, Green W R, Iliff W J
Ophthalmic Surg. 1982 Apr;13(4):292-9.
Despite the large number of intraocular lens implants performed since Ridley first devised the procedure, there have been few reports of postmortem examination in clinically successful cases. We report a patient who tolerated his Choyce Mark VIII style implant well, despite a three-month episode of mild nongranulomatous uveitis occurring two months postoperatively, until his death 17 months later. This is the sixth postmortem study of an anterior chamber IOL and the only one in which there was a conspicuous granulomatous reaction on the anterior iris surface, with large foreign body giant cells. Despite the presence of a foreign body, the previous eyes that have clinically tolerated implants well and have come to postmortem examination have shown remarkably little inflammation; none have shown this degree of granulomatous reaction previously.
尽管自里德利首次设计眼内晶状体植入手术以来，该手术已实施了大量例数，但关于临床成功病例的尸检报告却很少。我们报告一例患者，其对乔伊斯 Mark VIII 型植入物耐受良好，尽管术后两个月出现了为期三个月的轻度非肉芽肿性葡萄膜炎，直到 17 个月后死亡。这是第六例关于前房型人工晶状体的尸检研究，也是唯一一例在前房虹膜表面出现明显肉芽肿反应且伴有大量异物巨细胞的研究。尽管存在异物，但此前临床上对植入物耐受良好且已进行尸检的病例显示炎症反应非常轻微；之前没有一例出现过如此程度的肉芽肿反应。
