Uy Harvey Siy, Chan Pik Sha T
University of the Philippines, Philippine General Hospital, Manila; Asian Eye Institute, Makati City, Philippines.
Am J Ophthalmol. 2006 Aug;142(2):330-2. doi: 10.1016/j.ajo.2006.02.033.
To report the association of sulcus-fixated, single-piece hydrophobic acrylic intraocular lenses (HAIOL) with pigment release and secondary glaucoma.
Interventional case series.
HAIOL was implanted in the ciliary sulcus of 20 eyes that developed posterior capsule rupture during phacoemulsification. We analyzed postoperative best-corrected visual acuity, manifest refraction, frequency of intraocular lens malpositioning, and postoperative complications.
Postoperative best-corrected visual acuity was 20/40 or better in all eyes. The mean postoperative sphere was -0.5 +/- 0.7 diopters (range +1.25 to -2.00); the mean postoperative cylinder was -1.2 +/- 0.8 diopters (range 0 to -2.50). None of the HAIOLs was decentered or dislocated, and none required repositioning. Seven eyes (35%) developed pigment release; three eyes (15%) developed secondary glaucoma.
Implantation of single-piece HAIOLs in the ciliary sulcus is associated with pigment release and secondary glaucoma. Alternative methods of aphakic correction should be considered.
报告沟固定一体式疏水丙烯酸人工晶状体（HAIOL）与色素释放及继发性青光眼的相关性。
干预性病例系列。
将HAIOL植入20只在白内障超声乳化手术期间发生后囊破裂的眼的睫状沟内。我们分析了术后最佳矫正视力、显验光、人工晶状体位置异常的频率以及术后并发症。
所有眼术后最佳矫正视力均为20/40或更好。术后平均球镜度数为-0.5±0.7屈光度（范围为+1.25至-2.00）；术后平均柱镜度数为-1.2±0.8屈光度（范围为0至-2.50）。所有HAIOL均未出现偏心或脱位，也无一例需要重新定位。7只眼（35%）发生色素释放；3只眼（15%）发生继发性青光眼。
在睫状沟植入一体式HAIOL与色素释放及继发性青光眼有关。应考虑其他无晶状体矫正方法。
