Willoughby Colin E, Wishart Peter K
St. Paul's Eye Unit, Royal Liverpool University Hospital, and Unit of Ophthalmology, Department of Medicine, University of Liverpool, Liverpool, United Kingdom.
J Cataract Refract Surg. 2002 Jun;28(6):1061-4. doi: 10.1016/s0886-3350(01)01226-3.
A 42-year-old woman presented with uncontrolled glaucoma despite patent peripheral iridotomies after a previous episode of acute angle-closure glaucoma. Spherophakia was diagnosed by anterior segment findings, refraction, A-scan biometry, and ultrasound biomicroscopy. Continuous curvilinear capsulorhexis, phacoemulsification, and infusion/aspiration were performed in the right eye. Attempted intraocular lens (IOL) implantation failed, and the eye was left aphakic. Six months later, the intraocular pressure (IOP) was normal without glaucoma therapy and visual acuity was 6/6 with a contact lens. The patient then had phacoemulsification in the left eye, removal of the capsular bag, anterior vitrectomy, and insertion of an anterior chamber IOL. Four months after surgery, the uncorrected visual acuity was 6/9 and the IOP was normal without glaucoma therapy.
一名42岁女性，尽管之前有过一次急性闭角型青光眼发作，且周边虹膜切开术通畅，但仍出现了无法控制的青光眼。通过眼前节检查、验光、A超生物测量和超声生物显微镜检查诊断为球形晶状体。右眼进行了连续环形撕囊、超声乳化和灌注/抽吸。人工晶状体（IOL）植入尝试失败，该眼变为无晶状体眼。六个月后，未经青光眼治疗眼压正常，戴隐形眼镜时视力为6/6。随后患者左眼进行了超声乳化、囊袋摘除、前部玻璃体切除术，并植入了前房型人工晶状体。术后四个月，未矫正视力为6/9，未经青光眼治疗眼压正常。
