Kothari Mihir, Asnani Priyadarshi, Kothari Kulin
Bombay City Eye Institute and Research Center, Mumbai, Maharashatra, India.
Indian J Ophthalmol. 2008 Jan-Feb;56(1):78-80. doi: 10.4103/0301-4738.37611.
A 31-year-old man with high axial myopia and strabismus fixus convergens underwent bilateral refractive lens exchange followed by a squint surgery (bilateral superior partial Jensen's procedure and medial rectus recession). After one year he presented with traumatic anterior dislocation of the sulcus fixated posterior chamber polymethyl methacrylate lens. The lens was dialed back into the ciliary sulcus without any complications. This case highlights the importance of implanting an intraocular lens (IOL) in-the-bag. If the IOL needs to be implanted in the sulcus, a larger diameter of the IOL with larger optic size and overall length is desirable, especially in highly myopic eyes.
一名31岁患有高度轴性近视和固定性内斜视的男性接受了双眼屈光性晶状体置换术，随后进行了斜视手术（双侧上半部分詹森手术和内直肌后徙术）。一年后，他出现了巩膜固定后房型聚甲基丙烯酸甲酯晶状体外伤性前脱位。晶状体被拨回睫状沟，未出现任何并发症。该病例强调了将人工晶状体（IOL）植入囊袋内的重要性。如果需要将IOL植入睫状沟，理想的是使用更大直径、更大光学区尺寸和整体长度的IOL，尤其是在高度近视眼中。
