Dhoot Dilsher S, Flaxel Christina J
Oregon Health and Science University, Portland, Oregon, USA.
J Cataract Refract Surg. 2007 Apr;33(4):743-5. doi: 10.1016/j.jcrs.2006.11.024.
A 74-year-old woman had cataract extraction with implantation of a MemoryLens posterior chamber intraocular lens (IOL) (model CV232, Ioltech). On the first postoperative day, she complained of hazy vision and an opaque area was found in the IOL. Explantation was scheduled but postponed when the patient's vision improved and the IOL cleared by the second postoperative day. To date, the IOL has remained clear. To our knowledge, this is the first report of resolving opacification in a MemoryLens. Two cases of opacification in the same IOL model have been reported; the opacification persisted, and the IOLs were explanted. In this case, early opacification and resolution suggest an acute process. With early IOL opacification, it may be beneficial to delay explantation for a few days.
一名74岁女性接受了白内障摘除术,并植入了一枚MemoryLens后房型人工晶状体(IOL)(型号CV232,Ioltech公司)。术后第一天,她抱怨视力模糊,并且在人工晶状体中发现了一个不透明区域。原计划进行晶状体摘除,但在术后第二天患者视力改善且人工晶状体变得清晰后,手术被推迟。迄今为止,人工晶状体一直保持清晰。据我们所知,这是关于MemoryLens人工晶状体混浊自行消退的首例报告。此前已有两例同一型号人工晶状体混浊的报道,混浊持续存在,晶状体被摘除。在本病例中,早期出现混浊并自行消退提示这是一个急性过程。对于早期出现的人工晶状体混浊,推迟几天进行摘除可能是有益的。