Kern R, Oppong M C, Schipper J
Klin Monbl Augenheilkd. 1981 Apr;178(4):281-3. doi: 10.1055/s-2008-1057203.
Between 1973 and 1980 349 intraocular lenses were implanted after intracapsular and 470 after extracapsular cataract operation. The results and complications are evaluated: following intracapsular lens extraction a 4-loop Binkhorst lens (iris clip lens) was inserted in all cases. Following extracapsular cataract operation a 2-loop Binkhorst lens (iridocapsular lens) was implanted in 194, a 4-loop lens in 276 cases. The two complications occurring most frequently were an Irvine-Gass syndrome in 10% following intracapsular, and a disturbing secondary cataract necessitating a discision in 19% after extracapsular lens extraction. A dislocation-decentration of the pseudophakos was observed in some cases after extracapsular cataract operation. It is therefore recommended that the extracapsular be preferred to the intracapsular cataract extraction, that a 4-loop lens be implanted, secured by a transiridectomy suture, but that the haptic part of the intraocular lens should not be inserted in the capsular bag. It is of paramount importance, especially in young pseudophakic patients, to prescribe carefully an additional optical correction, preferably progressive glasses.
1973年至1980年间，349枚人工晶状体在囊内白内障手术后植入，470枚在囊外白内障手术后植入。对结果和并发症进行了评估：囊内晶状体摘除术后，所有病例均植入4袢Binkhorst晶状体（虹膜夹晶状体）。囊外白内障手术后，194例植入2袢Binkhorst晶状体（虹膜囊袋晶状体），276例植入4袢晶状体。最常出现的两种并发症是，囊内手术后10%发生Irvine - Gass综合征，囊外晶状体摘除术后19%出现令人困扰的后发性白内障，需要进行晶状体切开术。在一些囊外白内障手术后的病例中观察到人工晶状体脱位 - 偏心。因此建议，囊外白内障摘除术优于囊内白内障摘除术，应植入4袢晶状体，并通过经虹膜切除术缝线固定，但人工晶状体的袢不应插入囊袋内。尤其对于年轻的人工晶状体植入患者，仔细开具额外的光学矫正处方，最好是渐进多焦点眼镜，这至关重要。
