人工晶状体取出的适应证。

Indications for intraocular lens removal.

Shepard D D

Ophthalmic Surg. 1977 Jun;8(3):144-8.

Abstract

The indications for removing an intraocular lens (IOL) are: A. Chronic uveitis B. Endothelial corneal dystrophy C. Uncontrollalbe glaucoma D. Metal loop cutting pupillary sphincter E. Gross decentration of IOL (fibrous bands) F. Extraocular dislocation of IOL G. Recurrent severe hyphema H. Development of rubeosis iridis I. Removal of iris (1) Iris tumor (2) Epithelial downgrowth J. Endophthalmitis K. Unilateral IOL in pending bilateral aphakia 2. The following may be indications for removing and/or replacing and/or replacing an IOL: A. Wrong dioptric power B. Foreign body attached to IOL C. IOL covered with pigment D. Repair retinal detachment after extracapsular cataract extraction E. Choyce lens too short F. Dannheim IOL with absorbed supramid loop tips G. Dislocated Ridley IOL H. Sclero-conjunctival erosion of Strampelli's "external-fixation" IOL loop. The preceding analysis of problem areas is meant to specifically define when and why to remove or replace an IOL, or institute alternative forms of treatment. One is advised to obtain consultation or a second opinion before embarking on lens-removal surgery.

摘要

取出人工晶状体（IOL）的指征如下：A. 慢性葡萄膜炎；B. 角膜内皮营养不良；C. 无法控制的青光眼；D. 金属袢切断瞳孔括约肌；E. 人工晶状体严重偏心（纤维带）；F. 人工晶状体眼外脱位；G. 反复发生严重前房积血；H. 虹膜新生血管形成；I. 虹膜切除（1）虹膜肿瘤；（2）上皮植入；J. 眼内炎；K. 双侧无晶状体待行手术时的单眼人工晶状体。
以下情况可能是取出和/或更换和/或替换人工晶状体的指征：A. 屈光度错误；B. 人工晶状体附着异物；C. 人工晶状体被色素覆盖；D. 白内障囊外摘除术后视网膜脱离修复；E. 乔伊斯晶状体过短；F. 丹海姆人工晶状体的超密环尖端吸收；G. 脱位的里德利人工晶状体；H. 斯特兰佩利“外固定”人工晶状体袢的巩膜-结膜侵蚀。上述对问题区域的分析旨在明确何时以及为何要取出或更换人工晶状体，或采取其他治疗方式。建议在进行晶状体摘除手术前咨询他人或听取第二种意见。