Sugar H S, Harding C, Barsky D
Ann Ophthalmol. 1976 Oct;8(10):1165-81.
A clinical and ultramicroscopic review, including discussion of both scanning and transmission microscopy of the exfoliation syndrome, suggests that the term pseudoexfoliation be replaced by exfoliation syndrome. Involvement of the lens epithelium and, particularly, the pigment epithelium of the iris and the ciliary body epithelium are emphasized as being the likely sources of the exfoliative fibrils. A case of exfoliation syndrome in an eye with an eccentric pupil revealed that the granular material seen on the lens capsule occurs only where the iris is in contact with the lens surface and the process may even involve the central anterior capsule under proper conditions. This finding, together with the evidence of continuing deposits after intracapsular cataract extraction, suggests that the granular material is deposited from the iris and that the material formed by the lens epithelium remains within the lens capsule.
一项临床及超微结构综述，包括对剥脱综合征的扫描电镜和透射电镜观察的讨论，表明“假性剥脱”这一术语应被“剥脱综合征”所取代。晶状体上皮，尤其是虹膜色素上皮和睫状体上皮被强调可能是剥脱性纤维的来源。一例瞳孔偏心眼的剥脱综合征病例显示，晶状体囊膜上所见的颗粒物质仅出现在虹膜与晶状体表面接触的部位，在适当条件下该过程甚至可能累及前囊中央。这一发现，连同囊内白内障摘除术后仍有沉积物的证据，提示颗粒物质是由虹膜沉积的，而晶状体上皮形成的物质则保留在晶状体囊膜内。
