后房型有晶状体眼人工晶状体植入术后双侧巨大视网膜裂孔
Bilateral giant retinal tear following posterior chamber phakic intraocular lens implantation.
作者信息
Navarro Rafael, Gris Oscar, Broc Laura, Corcóstegui Borja
机构信息
Vitreo-retinal Unit, Instituto de Microcirugía Ocular de Barcelona, Spain.
出版信息
J Refract Surg. 2005 May-Jun;21(3):298-300. doi: 10.3928/1081-597X-20050501-16.
PURPOSE
To report a case of bilateral giant retinal tear following posterior chamber phakic intraocular lens (PIOL) implantation.
METHODS
A patient with an ocular history of retinal detachment associated with giant retinal tear 4 months after a bilateral PIOL implantation was referred with a macula on retinal detachment associated with giant retinal tear in the fellow eye. The patient underwent vitrectomy with silicone oil tamponade and an encircling buckle. Five months later, a lensectomy with phakic IOL and silicone oil removal were performed.
RESULTS
The retina was reattached and has remained stable during 3-year follow-up.
CONCLUSIONS
Although it is unclear whether retinal detachment associated with giant retinal tear following refractive procedures occurs within the normal incidence in myopic eyes, prophylactic measures are mandatory in high-risk fellow eyes.
目的
报告1例后房型有晶状体眼人工晶状体（PIOL）植入术后双侧巨大视网膜裂孔的病例。
方法
1例患者在双侧PIOL植入术后4个月发生与巨大视网膜裂孔相关的视网膜脱离，因对侧眼黄斑区伴有巨大视网膜裂孔的视网膜脱离前来就诊。患者接受了玻璃体切除术联合硅油填充及环扎术。5个月后，进行了晶状体切除术、有晶状体眼人工晶状体取出术及硅油取出术。
结果
视网膜复位，在3年的随访期间保持稳定。
结论
尽管屈光手术后继发与巨大视网膜裂孔相关的视网膜脱离是否在近视眼的正常发病率范围内尚不清楚，但对高危对侧眼采取预防措施是必要 的。
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