POSTOPERATIVE COMPLICATIONS OF CAPSULORHEXIS

被引:116
作者
MASKET, S
机构
关键词
CAPSULE BAG CONTRACTION; CAPSULE BAG IMPLANTATION; CAPSULORHEXIS; CILIARY SULCUS IMPLANTATION; DECENTRATION; ELSCHNIG PEARLS; HYPERDISTENTION; LENS EPITHELIAL CELL HYPERPROLIFERATION; POSTERIOR CAPSULOTOMY; STRING OF PEARLS;
D O I
10.1016/S0886-3350(13)80340-9
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Capsulorhexis has become the preferred method of anterior capsulotomy, and untoward effects have not been frequently noted. Nevertheless, distinct complications of continuous tear anterior capsulotomy are now recognized. These include capsular bag hyperdistention, shrinkage of the anterior capsule opening with visual loss and/or intraocular lens decentration, and lens epithelial cell hyperproliferation on the posterior lens capsule. The tatter has not been reported and may be associated with reduction or closure of laser posterior capsulotomies in the form of a ''string of pearls'' around the capsule opening. Current styles of capsular surgery and intraocular lens implantation in which the anterior capsule edge overlaps the lens may be responsible for these phenomena. Although altering the surgical methods may obscure these complications, eliminating the anterior subcapsular and equatorial lens epithelial cells is necessary to prevent capsule contraction and lens epithelial cell hyperproliferation.
引用
收藏
页码:721 / 724
页数:4
相关论文
共 13 条
  • [1] Gimbel HV, Neuhann T, Development, advantages, and methods of the continuous circular capsulorhexis technique, J Cataract Refract Surg, 16, pp. 31-37, (1990)
  • [2] Johnson SH, Kratz RP, Olson PF, Iris transillumination defect and microhyphema syndrome, Am Intra-Ocular Implant Soc J, 10, pp. 499-502, (1984)
  • [3] Masket S, Pseudophakic posterior iris chafing syndrome, J Cataract Refract Surg, 12, pp. 252-256, (1986)
  • [4] Colvard DM, Dunn SA, Intraocular lens centration with continuous tear capsulotomy, J Cataract Refract Surg, 16, pp. 312-314, (1990)
  • [5] Learning DV, Practice styles and pReferences of ASCRS members—1992 survey, J Cataract Refract Surg, 19, pp. 600-606, (1993)
  • [6] Davison JA, Capsular bag distension after endophacoemulsification and posterior chamber intraocular lens implantation, J Cataract Refract Surg, 16, pp. 99-108, (1990)
  • [7] Holtz SJ, Postoperative capsular bag distension, J Cataract Refract Surg, 18, pp. 310-317, (1992)
  • [8] Nishi O, Sakka Y, Anterior capsule-supported intraocular lens
  • [9] a new lens for small-incision surgery and for sealing the capsular opening, Graefe's Arch Clin Exp Ophthalmol, 228, pp. 582-588, (1990)
  • [10] Frezzotti R, Caporossi A, Mastrangelo D, Et al., Pathogenesis of posterior capsular opacification. Part II: Histopathological and in vitro culture findings, J Cataract Refract Surg, 16, pp. 353-360, (1990)