Haigh P M, Lloyd I C, Lavin M J
Manchester Royal Eye Hospital, UK.
Eye (Lond). 1995;9 ( Pt 4):442-5. doi: 10.1038/eye.1995.103.
A consecutive series of patients who had undergone small-incision phacoemulsification cataract surgery with foldable lens implantation were reviewed. Seven patients had sustained anterior capsular tears during surgery. In all cases a three-piece foldable intraocular lens (IOL) was successfully inserted by careful positioning of the haptics. In all 6 patients available for long-term assessment the IOL remained stable and well centred, the tears having been sealed by fibrous tissue. We show that, if logical measures are taken to limit tear extension, the lack of an intact capsulorhexis need not result in conversion to extracapsular cataract extraction.
回顾了一系列连续接受小切口超声乳化白内障手术并植入可折叠人工晶状体的患者。7例患者在手术过程中发生了前囊膜撕裂。在所有病例中，通过小心定位袢，均成功植入了三片式可折叠人工晶状体（IOL）。在所有可进行长期评估的6例患者中，IOL保持稳定且居中良好，撕裂处已被纤维组织封闭。我们表明，如果采取合理措施限制撕裂扩展，缺乏完整的连续环形撕囊术不一定会导致转为囊外白内障摘除术。
