Intraocular lens implantation -- analysis of 500 consecutive cases.

Intraocular lens implantation -- analysis of 500 consecutive cases.
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人工晶状体植入术——500例连续病例分析。

DOI:
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发表时间:
1977
期刊:
Ophthalmic surgery
影响因子:
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通讯作者:
D. Shepard
D. Shepard
中科院分区:
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文献类型:
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作者:
D. Shepard

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作者分析了近五年来连续500例人工透镜(IOL)植入术的病例:患者为屈光不正,0.2%需眼球摘除(1例上皮向下生长); 2%需要摘除IOL; 3.6%患有视网膜脱离;男性患视网膜脱离和“玻璃体炎”的倾向是女性的三倍; 7.5%经历IOL半脱位; 10%因各种并发症需要后续手术; 15%表现出临床黄斑囊样水肿(CME); Copeland镜片的CME发生率最低(3.9%); CME发生率最高的是带金属环的IOL(33%); 21%在二次植入后发生CME; 61%的患者在手术期间或整个随访期间没有并发症。79%具有工业有用视力(20/40或更好); 95%进行了囊内摘除术;无眼内炎病例。
The author analyzed 500 consecutive cases of intraocular lens (IOL) implantation performed in the past five years: the patients were unselected; 0.2% required enucleation (one case of epithelial downgrowth); 2% needed IOL removal; 3.6% suffered retinal detachment; males were three times as prone to retinal detachment and "vitreitis" as females; 7.5% experiences IOL subluxation; 10% required subsequent surgery for a variety of complications; 15% demonstrated clinical cystoid macular edema (CME); the lowest incidence of CME occurred with Copeland lenses (3.9%); the highest incidence of CME was seen with IOL's with metal loops (33%); 21% had CME following secondary implantation; 61% had no complications during surgery or the entire follow-up period. 79% had industrially-useful vision (20/40 or better); 95% had intracapsular extraction; there were no cases of endophthalmitis.