Hayreh S S
Arch Ophthalmol. 1980 Aug;98(8):1410-6. doi: 10.1001/archopht.1980.01020040262010.
Findings are described from 13 eyes in which post-cataract-extraction anterior ischemic optic neuropathy (PCE-AION) developed immediately after an uncomplicated cataract extraction. During the early stages of the disease, the disc is edematous, with optic disc-related visual-field defects, but after about two months, the disc is pale. The almost invariable high rise of intraocular pressure during the immediate postoperative period plays a critical role in production of PCE-AION in eyes with vulnerable optic nerve head circulation. There is a high risk of development of PCE-AION in the second eye in patients with PCE-AION in the first eye, but this can be prevented by prophylactic measures. Post-cataract-extraction AION needs to be differentiated from ordinary AION seen in aphakic eyes months or years after the cataract extraction.
报告了13只眼睛的检查结果，这些眼睛在白内障摘除术后立即出现了后发性缺血性视神经病变（PCE-AION），且白内障摘除手术过程顺利。在疾病早期，视盘水肿，伴有与视盘相关的视野缺损，但大约两个月后，视盘会变白。术后早期几乎不可避免的眼压急剧升高在视神经乳头循环脆弱的眼睛中PCE-AION的发生中起关键作用。第一只眼睛发生PCE-AION的患者，其第二只眼睛发生PCE-AION的风险很高，但这可以通过预防性措施来预防。白内障摘除术后的AION需要与白内障摘除术后数月或数年无晶状体眼中出现的普通AION相鉴别。
