Anderson C J
Davis Duehr Eye Associates, Madison, Wisconsin.
J Cataract Refract Surg. 1993 Sep;19(5):620-1. doi: 10.1016/s0886-3350(13)80012-0.
To evaluate the internal appearance of the no-stitch cataract incision, gonioscopy was performed in 68 of 78 consecutive eyes of cataract surgical patients with no-stitch incisions. All incisions were located anterior to Schwalbe's line, and 32 (42%) had smooth linear internal incisions. In another 32 (42%), small tags or curls were located along the internal incision. Four eyes (5%) had discernible Descemet's membrane detachments visible by gonioscopy but not slitlamp biomicroscopy. The Descemet's detachments were less than 2mm long in three patients and more than 2 mm in one patient. The width of the detachments were 1 mm or less. The detachments did not lead to clinically significant sequela such as filtration blebs or persistent corneal edema.
为评估无缝线白内障切口的内部情况,对78例接受无缝线白内障手术患者的连续78只眼中的68只进行了前房角镜检查。所有切口均位于施瓦贝线前方,32例(42%)内部切口呈光滑线性。另外32例(42%)内部切口处有小标签或卷曲。4只眼(5%)通过前房角镜检查可发现后弹力层脱离,但裂隙灯显微镜检查未发现。3例患者的后弹力层脱离长度小于2mm,1例患者的后弹力层脱离长度大于2mm。脱离宽度为1mm或更小。这些脱离未导致滤过泡或持续性角膜水肿等具有临床意义的后遗症。