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与二期背负式人工晶状体相关的瞳孔阻滞性青光眼

Pupillary block glaucoma associated with a secondary piggyback intraocular lens.

作者信息

Kim Shane K, Lanciano Ralph C, Sulewski Michael E

机构信息

Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

出版信息

J Cataract Refract Surg. 2007 Oct;33(10):1813-4. doi: 10.1016/j.jcrs.2007.05.046.

DOI:10.1016/j.jcrs.2007.05.046
PMID:17889783
Abstract

A 53-year-old woman developed pupillary block glaucoma associated with iris capture of a piggyback intraocular lens (IOL) that was treated with laser peripheral iridotomy. The piggyback IOL was repositioned by dilating the iris pharmacologically and reclining the patient. The IOL maintained its proper position behind the iris with the use of low-concentration pilocarpine eyedrops. Pupillary block glaucoma can occur as a complication of secondary piggyback IOL implantation.

摘要

一名53岁女性发生了与背负式人工晶状体(IOL)的虹膜嵌顿相关的瞳孔阻滞性青光眼,通过激光周边虹膜切开术进行了治疗。通过药物扩张虹膜并使患者卧位,将背负式IOL重新定位。使用低浓度毛果芸香碱滴眼液后,IOL维持在虹膜后的正确位置。瞳孔阻滞性青光眼可作为二期背负式IOL植入的并发症发生。

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引用本文的文献

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Need of additional iridotomies despite lens extraction in spherophakes.尽管进行了晶状体摘除术,球形晶状体患者仍需要额外的虹膜切开术。
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Secondary Piggyback Intraocular Lens for Management of Residual Ametropia after Cataract Surgery.
用于白内障手术后残余屈光不正处理的二期背负式人工晶状体
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BMC Ophthalmol. 2020 Sep 25;20(1):383. doi: 10.1186/s12886-020-01650-3.
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Long-term results of clear lens extraction combined with piggyback intraocular lens implantation to correct high hyperopia.透明晶状体摘除联合二期人工晶状体植入矫正高度远视的长期效果
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