Dosso A A, Bonvin E R, Leuenberger P M
Clinique d'Ophtalmologie, Geneva, Switzerland.
J Cataract Refract Surg. 1997 Jan-Feb;23(1):122-5. doi: 10.1016/s0886-3350(97)80162-9.
To evaluate intraoperative and postoperative complications of phacoemulsification and intraocular lens (IOL) implantation in eyes with exfoliation syndrome.
Eye Clinic, University Hospital of Geneva, Switzerland.
This prospective study evaluated 20 consecutive patients with exfoliation syndrome and 20 consecutive patients without the syndrome (control group) who had phacoemulsification and posterior chamber IOL implantation. One year later, the incidence of zonular tears, operating time, and fibrinoid reaction were studied in another group of 23 consecutive patients who had the same type of surgery by the same surgeon.
Maximal pupil dilation was significantly smaller (P < .0001) in the exfoliation than in the control group. Intraoperatively, the incidence of zonular tears was the same in both groups (10%). In the 23 patients who had surgery 1 year later, no zonular tears occurred. The incidence of postoperative complications was similar in both groups. The exfoliation group had a significant decrease in intraocular pressure over preoperative levels at 1 week and 3 months postoperatively.
Phacoemulsification with posterior chamber IOL implantation appears to be safe in eyes with exfoliation syndrome.
评估剥脱综合征患者行超声乳化白内障吸除术及人工晶状体（IOL）植入术的术中及术后并发症。
瑞士日内瓦大学医院眼科诊所。
这项前瞻性研究评估了20例连续性剥脱综合征患者以及20例连续性非综合征患者（对照组），他们均接受了超声乳化白内障吸除术及后房型人工晶状体植入术。一年后，对另一组由同一位外科医生实施相同类型手术的23例连续性患者的晶状体悬韧带撕裂发生率、手术时间及类纤维蛋白反应进行了研究。
剥脱综合征组的最大瞳孔散大明显小于对照组（P <.0001）。术中，两组的晶状体悬韧带撕裂发生率相同（10%）。在一年后接受手术的23例患者中，未发生晶状体悬韧带撕裂。两组术后并发症发生率相似。剥脱综合征组术后1周和3个月时眼压较术前水平显著降低。
对于剥脱综合征患者，行后房型人工晶状体植入的超声乳化白内障吸除术似乎是安全的。
