有晶状体眼屈光性晶状体及虹膜爪状晶状体植入术后近视眼脉络膜新生血管形成

Choroidal neovascularization in myopic eyes after phakic refractive lens and iris-claw lens implantation.

作者信息

Ruiz-Moreno J M, Tavolato M, Montero J A, Alió J L

机构信息

Department of Ophthalmology, Miguel Hernández University School of Medicine Alicante, Spain.

出版信息

Eur J Ophthalmol. 2004 Mar-Apr;14(2):159-62. doi: 10.1177/112067210401400214.

DOI:10.1177/112067210401400214

PMID:15134116

Abstract

PURPOSE

To describe the appearance of choroidal neovascularization (CNV) in two myopic patients after implantation of a phakic refractive lens (PRL) and an iris-claw lens.

METHODS

A PRL was implanted in the left eye of a 35-year-old myopic man. Five weeks later, he reported decreased best-corrected visual acuity (BCVA). Fluorescein angiography revealed juxtafoveal CNV Photodynamic therapy with Visudyne (PDT) was successfully performed, achieving closure of the membrane. BCVA was 20/40 3 months afterwards. An iris-claw lens was implanted in the left eye of a 24-year-old myopic man. BCVA after surgery was 20/40 (SE -0.75). Three years later subfoveal CNV was diagnosed. PDT was performed, achieving complete closure of CNV BCVA was 20/100 3 months after treatment.

CONCLUSIONS

The appearance of CNV in myopic eyes corrected by phakic intraocular lens implantation is a possible complication that must be considered.

摘要

目的

描述两名近视患者在植入有晶状体眼屈光性人工晶状体（PRL）和虹膜爪形人工晶状体后脉络膜新生血管（CNV）的表现。

方法

为一名35岁的近视男性的左眼植入了一枚PRL。五周后，他报告最佳矫正视力（BCVA）下降。荧光素血管造影显示黄斑旁CNV。使用维速达尔（Visudyne）进行光动力疗法（PDT）成功实施，使膜封闭。3个月后BCVA为20/40。为一名24岁的近视男性的左眼植入了一枚虹膜爪形人工晶状体。术后BCVA为20/40（球镜等效度数-0.75）。三年后诊断为黄斑下CNV。实施了PDT，使CNV完全封闭。治疗3个月后BCVA为20/100。