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October 1983

Lens Destruction Following Capsule Perforations

Author Affiliations

Würzburg, West Germany

Arch Ophthalmol. 1983;101(10):1629. doi:10.1001/archopht.1983.01040020631034

To the Editor.  —How often do perforations of the anterior lens capsule or even through-and-through perforations of the lens heal spontaneously with the result of a circumscribed scar in an otherwise clear lens, allowing good vision? Our literature search showed that during the past 100 years several authors have reported on 1, 2, or 3 cases. The good results may last for decades or for a lifetime, but in some cases traumatic cataracts developed after years. In many textbooks' we find that small perforations of the lens capsule may heal spontaneously; however, statistical data on the frequency of such healings are lacking. Could anybody provide us with figures?I have seen a few patients with spontaneous healing and good vision in the 25 years of my experience in ophthalmic surgery, but in the vast majority even small lesions (anterior capsule perforations as well as equatorial and through-and-through perforations) led to

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