Lumme P, Laatikainen L
Department of Ophthalmology, University of Oulu, Finland.
Am J Ophthalmol. 1993 Jul 15;116(1):51-5. doi: 10.1016/s0002-9394(14)71743-x.
In a prospective study of 351 consecutive cataract operations performed on Finnish patients, the prevalence of exfoliation syndrome was 31% (108 of 351 eyes), increasing from 0% (zero of 54 eyes) in patients younger than 60 years to 15% (12 of 78 eyes) in patients aged 60 to 69 years, 42% (57 of 137 eyes) in patients aged 70 to 79 years, and 48% (39 of 82 eyes) in those aged 80 years or more, than has previously been reported in general populations of the same age in Finland. Exfoliation syndrome was more common in patients aged 70 years or more. Glaucoma was found in 41 of 108 eyes with exfoliation syndrome (38%). Exfoliation syndrome increased the risk of intraoperative complications in extracapsular cataract extraction either directly (rupture of the zonules) or through poor dilation of the pupil (rupture of the posterior lens capsule). The occurrence of vitreous loss was fourfold, and the need to use an anterior chamber intraocular lens instead of a posterior chamber lens because of loss of capsular support was tenfold in eyes with exfoliation as compared to those without exfoliation.
在一项对芬兰患者连续进行的351例白内障手术的前瞻性研究中，剥脱综合征的患病率为31%（351只眼中有108只），从60岁以下患者的0%（54只眼中为零）增加到60至69岁患者的15%（78只眼中有12只），70至79岁患者的42%（137只眼中有57只），以及80岁及以上患者的48%（82只眼中有39只），高于芬兰同年龄一般人群此前报告的患病率。剥脱综合征在70岁及以上患者中更为常见。在108只患有剥脱综合征的眼中，有41只（38%）发现青光眼。剥脱综合征直接（悬韧带断裂）或通过瞳孔扩张不良（晶状体后囊破裂）增加了囊外白内障摘除术中并发症的风险。与无剥脱的眼睛相比，有剥脱的眼睛玻璃体丢失的发生率增加了四倍，因囊膜支持丧失而需要使用前房型人工晶状体而非后房型人工晶状体的情况增加了十倍。
