Cámara-Castillo H G, Navarro-López P, Rivera-Sempértegui J
Servicio de Enfermedades Inflamatorias Oculares y Retina, Asociación para Evitar la Ceguera en México, Hospital Dr. Luis Sánchez Bulnes, México, D.F., México.
Arch Soc Esp Oftalmol. 2006 Jun;81(6):333-6. doi: 10.4321/s0365-66912006000600007.
A 74-year-old woman presented complaining of blurred vision in her left eye. She had an anterior chamber lens in both eyes and an opaque posterior capsule in her left eye, for which a YAG-LASER capsulotomy was performed. Thirteen days later she re-presented with a choroidal effusion and a retinal detachment requiring surgery.
There is no consensus as to the exact time at which a capsulotomy should be done. Timing of the procedure requires evaluation as a whole and consideration of the potential complications of IOL dislocation, recurrent uveitis, ocular hypertension and the most devastating choroidal effusion and retinal detachment.
一名74岁女性因左眼视力模糊前来就诊。她双眼均植入了前房型人工晶状体,左眼后囊膜混浊,为此进行了YAG激光后囊切开术。13天后,她再次就诊,出现脉络膜积液和视网膜脱离,需要进行手术。
关于后囊切开术的确切时机尚无共识。该手术的时机需要全面评估,并考虑人工晶状体脱位、复发性葡萄膜炎、眼压升高以及最严重的脉络膜积液和视网膜脱离等潜在并发症。