Jaffe N S
Aust J Ophthalmol. 1982 May;10(2):115-9. doi: 10.1111/j.1442-9071.1982.tb00369.x.
There has been a trend toward increasing popularity of the extracapsular method of cataract extraction. The advantages of this method over the intracapsular technique center around protection of the cornea and retina. A cornea-retina syndrome following intracapsular cataract extraction appears to be due to the greater endophthalmodonesis compared to the extracapsular method. The alleged advantages of the extracapsular method are discussed. Some appear valid while others are theoretical at this time. A personal angiographic cystoid macular edema study heavily favours the extracapsular method over the intracapsular. Four groups of patients were studied: 1. Intracapsular cataract extraction with a Binkhorst -loop lens. . Intracapsular cataract extraction with no lens implant. . Extracapsular cataract extraction with a Binkhorst lens; all with intact posterior capsules. 4. Extracapsular cataract extraction with a posterior chamber lens; all with primary posterior capsulotomy.
白内障囊外摘除术越来越受欢迎。这种方法相对于囊内摘除术的优势主要体现在对角膜和视网膜的保护上。囊内白内障摘除术后出现的角膜 - 视网膜综合征似乎是由于与囊外摘除术相比，前者的眼内震动更大。本文讨论了囊外摘除术所谓的优势。有些优势似乎是合理的，而有些目前只是理论上的。一项关于个人血管造影性黄斑囊样水肿的研究强烈支持囊外摘除术优于囊内摘除术。研究了四组患者：1. 使用宾克霍斯特环形晶状体的囊内白内障摘除术。2. 未植入晶状体的囊内白内障摘除术。3. 使用宾克霍斯特晶状体的囊外白内障摘除术；所有患者后囊膜均完整。4. 使用后房型晶状体的囊外白内障摘除术；所有患者均进行一期后囊膜切开术。
