Diestelhorst M, Dinslage S, Konen W, Krieglstein G K
Department of Ophthalmology, University of Köln, Germany.
J Cataract Refract Surg. 1996 Dec;22(10):1465-70. doi: 10.1016/s0886-3350(96)80149-0.
To study of the effect of silicone intraocular lens (IOL) implantation using a 3.0 mm tunnel incision with that of implantation though a 6.0 mm corneoscleral incision after phacoemulsification in human eyes.
Department of Ophthalmology, University of Köln, Germany.
In a prospective, randomized clinical study, 50 patients with senile cataract had phacoemulsification and IOL implantation through a 3.0 mm tunnel or a 6.0 mm corneoscleral incision. To assess blood-aqueous barrier (BAB) disruption, preoperative and postoperative sodium fluorescein concentrations in the anterior chamber were measured with the Fluorotron Master II. Diclofenac sodium 0.1% was applied to the operative eyes five times a day for 5 days. The contralateral eyes served as controls.
There was no significant between-group difference in sodium fluorescein concentrations in the 5 days after surgery.
The findings underline our clinical impression that BAB disruption 5 days after surgery does not differ significantly with the type and length of scleral incision used for IOL implantation.
研究在人类眼睛中，白内障超声乳化术后通过3.0毫米隧道切口植入硅胶人工晶状体（IOL）与通过6.0毫米角巩膜切口植入IOL的效果。
德国科隆大学眼科。
在一项前瞻性随机临床研究中，50例老年性白内障患者接受了超声乳化术，并通过3.0毫米隧道切口或6.0毫米角巩膜切口植入IOL。为评估血-房水屏障（BAB）破坏情况，使用Fluorotron Master II测量术前和术后前房内荧光素钠的浓度。每天5次向术眼应用0.1%双氯芬酸钠，持续5天。对侧眼作为对照。
术后5天，两组间荧光素钠浓度无显著差异。
这些发现强化了我们的临床印象，即IOL植入术后5天BAB破坏情况与用于IOL植入的巩膜切口类型和长度无显著差异。
