Fechner P U, Singh D, Wulff K
Robert Koch Hospital, Hannover-Gehrden, Germany.
J Cataract Refract Surg. 1998 Jan;24(1):48-56. doi: 10.1016/s0886-3350(98)80074-6.
To evaluate the results of implanting convex, iris-fixated, anterior chamber intraocular lenses (IOLs) in phakic eyes to correct high hyperopia.
Robert Koch Hospital, Hannover-Gehrden, Germany (Center A), and Dr. Daljit Singh Eye Hospital, Amritsar, India (Center B).
Two eyes at Center A and 67 at Center B had implantation of an anterior chamber, convex, iris-fixated IOL. Follow-up of the 2 eyes at Center A was 91 months. Mean follow-up at Center B was 78 months +/- 24 (SD) (range 12 to 120 months).
At Center B, all eyes except two in one patient had clear corneas and no iritis or glaucoma at the last follow-up. The patient with complications (glaucoma and corneal degeneration in both eyes) did not return for follow-up until more than 4 years postoperatively and thus did not have adequate postoperative care.
Implantation of a convex iris-claw lens into the anterior chamber of phakic eyes to correct high hyperopia was successful from a refractive aspect. The clinical risks appear tolerable. However, life-long observation by endothelial microscopy is mandatory.
评估在有晶状体眼中植入前房型、虹膜固定的凸面人工晶状体（IOL）矫正高度远视的效果。
德国汉诺威 - 盖尔登的罗伯特·科赫医院（A中心）和印度阿姆利则的达尔吉特·辛格博士眼科医院（B中心）。
A中心2只眼和B中心67只眼植入了前房型、凸面、虹膜固定的IOL。A中心2只眼的随访时间为91个月。B中心的平均随访时间为78个月±24（标准差）（范围12至120个月）。
在B中心，除一名患者的2只眼外，所有眼睛在最后一次随访时角膜透明，无虹膜炎或青光眼。出现并发症（双眼青光眼和角膜变性）的患者直到术后4年多才回来随访，因此术后没有得到充分的护理。
从屈光角度来看，在有晶状体眼的前房植入凸面虹膜爪状晶状体矫正高度远视是成功的。临床风险似乎是可耐受的。然而，必须通过内皮显微镜进行终身观察。
