Izák M, Oslanec J, Gáfriková J, Nikel J
Ocná klinika NsP F. D. Roosevelta, Banská Bystrica.
Cesk Slov Oftalmol. 1996 Apr;52(2):82-7.
Fukals operation (extraction of a transparent lens in severe myopia) was of a long time considered risky in particular because of possible retinal complications. Based on ten years experience (1985 - 1994) the authors provide evidence that modern microsurgical methods, in particular phacoemulsification make it possible to perform this operation at a qualitatively higher level, much more safety and with a lower rate of complications. In a group of 284 operated eyes with myopia (15.96 diopters) were 4.57% transparent lenses, 37.68% with mild partial turbidity and 57.75% with dense or complete turbidity. Corrected vision 5/5 - 5/10 was achieved in 44.37%. Peroperative prolapse of the vitreous body occurred in 5.28%. The most frequent late complication was secondary cataract (26.76%). During the mean follow-up period of 37.57 months there was no case of cystoid oedema of the macula or detachment of the retina. Extraction of a transparent lens or incipient cataract in severe myopia is becoming an alternative method of other refractive operations.
福卡尔斯手术（高度近视患者透明晶状体摘除术）长期以来被认为具有风险，尤其是可能引发视网膜并发症。基于十年（1985 - 1994年）的经验，作者提供证据表明，现代显微手术方法，特别是超声乳化术，使得能够在更高质量、更安全且并发症发生率更低的水平上进行该手术。在一组284只接受手术的近视眼中（近视度数为15.96屈光度），透明晶状体占4.57%，轻度部分混浊的占37.68%，致密或完全混浊的占57.75%。44.37%的患者术后矫正视力达到5/5 - 5/10。术中玻璃体脱出发生率为5.28%。最常见的晚期并发症是继发性白内障（26.76%）。在平均37.57个月的随访期内，未出现黄斑囊样水肿或视网膜脱离的病例。在高度近视患者中摘除透明晶状体或早期白内障正成为其他屈光手术的一种替代方法。
