Malbran E, Dodds R, Hulsbus R
Mod Probl Ophthalmol. 1977;18:511-7.
After reviewing the incidence of aphakic retinal detachment more specifically on eyes that have been submitted to surgery for congenital cataracts, the authors make some remarks and discuss the value, the advantages, and the yet unknown risks that the new methods of lens removal may have as regards retinal pathology. Special consideration is given to the balance of the advantages: more complete elimination of the opacities, lower incidence of immediate morbidity, better visual results and postoperative possibilities of retinal examinations; against the, as yet unknown, late retinal complications with new procedures such as ultrasonics, phacoemulsification, pars plana approach for lens removal, etc. Moreover, bearing in mind the typical late onset of retinal detachment in aphakic eyes after congenital cataract surgery with the older methods, such as linear extraction and multiple discussions, special attention is given to this feature as a comparative landmark for a prospective evaluation of recent methods of extracapsular lens surgery.
在更具体地回顾了无晶状体性视网膜脱离在接受先天性白内障手术的眼睛中的发生率后，作者发表了一些评论，并讨论了晶状体摘除新方法在视网膜病变方面可能具有的价值、优势以及尚未知晓的风险。特别考虑了优势的平衡：更彻底地消除混浊、降低即刻发病的发生率、获得更好的视觉效果以及术后进行视网膜检查的可能性；与之相对的是，新手术方法（如超声乳化、晶状体超声乳化吸除术、经睫状体平坦部晶状体摘除术等）尚未知晓的晚期视网膜并发症。此外，考虑到采用诸如线状摘除和多次讨论等较老方法进行先天性白内障手术后，无晶状体眼视网膜脱离典型的迟发性，这一特征作为前瞻性评估近期囊外晶状体手术方法的比较标志而受到特别关注。
