Koss Michael J, Cichocki Magdalena, Kohnen Thomas
Department of Ophthalmology, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany.
J Cataract Refract Surg. 2007 May;33(5):905-9. doi: 10.1016/j.jcrs.2006.11.032.
A 45-year-old white woman with unilateral high myopia had uneventful implantation of a -9.0 diopter, foldable, iris-fixated Artiflex I anterior chamber phakic intraocular lens (pIOL) (Ophtec B.V.) in the right eye. Despite application of topical antibiotic and steroid agents for 4 weeks after surgery, iris pigment dispersion developed on the anterior surface of the crystalline lens. Two weeks later, the iris dispersion increased and posterior synechias developed from the iris to the crystalline lens next to the pIOL haptic at the 3 o'clock position. Consequently, pIOL re-enclavation was performed without surgically removing the posterior synechias. Initial and interim mydriatic and steroid eyedrops were administered 4 times a day. Regular follow-up examinations after re-enclavation (at 2, 3, 6, 12, and 24 months) confirmed a stable pIOL position by Scheimpflug photography. Two years after implantation, posterior synechias persisted at the 3 o'clock position, with iris dispersion on the crystalline lens and the posterior side of the pIOL, but with no signs of anterior chamber inflammation and no visual acuity loss.
一名45岁的白人女性，患有单侧高度近视，右眼顺利植入了一枚-9.0屈光度的可折叠、虹膜固定型Artiflex I前房有晶状体眼人工晶状体（pIOL）（Ophtec B.V.公司）。尽管术后使用局部抗生素和类固醇药物4周，但晶状体前表面出现了虹膜色素播散。两周后，虹膜色素播散加重，在3点钟位置的pIOL袢旁，虹膜与晶状体之间形成了后粘连。因此，在未手术分离后粘连的情况下进行了pIOL重新固定术。最初和中期每天4次给予散瞳和类固醇眼药水。重新固定术后定期随访检查（2、3、6、12和24个月）通过Scheimpflug摄影证实pIOL位置稳定。植入两年后，3点钟位置仍存在后粘连，晶状体和pIOL后侧有虹膜色素播散，但无前房炎症迹象，视力也未丧失。
