Alberth B
Klin Monbl Augenheilkd. 1982 Sep;181(3):220-2. doi: 10.1055/s-2008-1055205.
The author presents his views on the implantation of intraocular lenses, in connection with two pseudophakic bullous keratopathy cases. There is no medical indication for implantation. The question is whether the most important function of the eye, object vision, may be risked in order to avoid aniseikonia or to restore binocular vision? Knowing that vision can be restored with glasses or contact lenses, is it ethical to induce more or less severe postoperative complications by means of intraocular lenses? In view of the considerable success often achieved immediately after the operation, complications which may not arise years later should also be taken into consideration.
作者结合两例人工晶状体植入术后大泡性角膜病变病例，阐述了他对人工晶状体植入的看法。不存在植入的医学指征。问题在于，为了避免两眼物象不等或恢复双眼视觉，是否要冒损害眼睛最重要功能——物体视觉的风险？既然知道可以通过眼镜或隐形眼镜恢复视力，那么通过人工晶状体植入引发或多或少的严重术后并发症是否符合伦理道德？鉴于术后常常能立即取得显著成功，对于可能数年之后才会出现的并发症也应予以考虑。
