CAPSULE CONTRACTION SYNDROME

被引：291

作者：

DAVISON, JA

机构：

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1993年 / 19卷 / 05期

关键词：

ANTERIOR CAPSULOTOMY; CAPSULE CONTRACTION SYNDROME; CAPSULORHEXIS; EXTRACAPSULAR CATARACT EXTRACTION; INTRAOCULAR LENS; PHACOEMULSIFICATION; RETINAL DETACHMENT; YAG LASER;

D O I：

10.1016/S0886-3350(13)80004-1

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Capsule contraction syndrome is an exaggerated reduction in anterior capsulectomy and capsular bag diameter after extracapsular cataract surgery. While rarely seen with can-opener-style capsulectomies with anterior radial capsular tears, it is relatively frequent with capsulorhexis. It is particularly common in patients with pseudoexfoliation and in eyes with a history of moderately severe uveitis. Its effects, which include extreme reduction in the capsulectomy opening, malposition of the opening, reduction in equatorial capsular diameter, and displacement of the IOL, seem more exaggerated in small capsulorhexis openings and in the older patient. Neodymium:YAG laser radial anterior relaxing capsulotomies done within three weeks of cataract surgery reduce the sphincter effect of the contraction and lessen the chronic zonular-traction-related complications of the condition, which may include spontaneous IOL dislocation and retinal detachment.

引用

页码：582 / 589

页数：8

共 14 条

[1]

Davison JA, Capsulotomy tear patterns, Textbook of Advanced Phacoemulsification Techniques, pp. 57-75, (1991)

[2]

Davison JA, Cataract removal by phacoemulsification, The Surgical Rehabilitation of Vision, 13, pp. 1-13, (1992)

[3]

Davison JA, Inflammatory sequelae with silicone-polypropylene IOLs (letter), J Cataract Refract Surg, 18, pp. 421-422, (1992)

[4]

Davison JA, Structural features of intraocular lenses designed for use after capsulorhexis (letter), J Cataract Refract Surg, 19, pp. 112-116, (1993)

[5]

Hansen SO, Crandall AS, Olson RJ, Progressive constriction of the anterior capsular opening following intact capsulorhexis, J Cataract Refract Surg, 19, pp. 77-82, (1993)

[6]

Davison JA, Analysis of capsular bag defects and intraocular lens positions for consistent centration, J Cataract Refract Surg, 12, pp. 124-129, (1986)

[7]

Apple DJ, Mamalis N, Loftfield K, Et al., Complications of intraocular lenses. A historical and histopathological review, Surv Ophthalmol, 29, pp. 1-54, (1984)

[8]

Hansen SO, Tetz MR, Solomon KD, Et al., Decentration of flexible loop posterior chamber intraocular lenses in a series of 222 postmortem eyes, Ophthalmology, 95, pp. 344-349, (1988)

[9]

Takei Y, Mizuno K, Electron-microscopic study of pseudoexfoliation of the lens capsule, Graefes Arch Clin Exp Ophthalmol, 205, pp. 213-220, (1978)

[10]

Taylor HR, Hollows FC, Moran D, Pseudoexfoliation of the lens in Australian aborigines, Br J Ophthalmol, 61, pp. 473-475, (1977)

← 1 2 →