植入可调节人工晶状体后的囊袋阻滞综合征

Capsular block syndrome after implantation of an accommodating intraocular lens.

作者信息

Alessio Giovanni, L'Abbate Milena, Boscia Francesco, La Tegola Maria Gabriella

机构信息

Clinica Oculistica, Department of Ophthalmology and Otorhinolaryngology, University of Bari, Piazza Giulio Cesare 11, Bari, Italy.

出版信息

J Cataract Refract Surg. 2008 Apr;34(4):703-6. doi: 10.1016/j.jcrs.2007.11.036.

DOI:10.1016/j.jcrs.2007.11.036

PMID:18361997

Abstract

A patient presented with capsular block syndrome (CBS) 1 month after cataract surgery. An unexpected postoperative myopia linked to shallowing of the anterior chamber was evident. The 1540 microm IOL shift was sufficient to give useful spectacle-free near vision. A neodymium:YAG laser peripheral anterior capsulotomy enabled the intracapsular liquid to flow into the anterior chamber, allowing normal placement of a 1CU IOL (HumanOptics AG) but revealing the limited accommodative ability of the IOL to cover the dioptric range from reading distance to infinity. The visual outcome of the patient is in accord with that in other studies of the effective of IOL shifting.

摘要

一名患者在白内障手术后1个月出现囊袋阻滞综合征（CBS）。术后出现与前房变浅相关的意外近视。1540微米的人工晶状体移位足以提供有用的无眼镜近视力。钕：钇铝石榴石激光周边前囊切开术使囊袋内液体流入前房，使得1CU人工晶状体（德国豪雅公司）能够正常植入，但也揭示了该人工晶状体在覆盖从阅读距离到无限远的屈光度范围方面的调节能力有限。该患者的视觉结果与其他关于人工晶状体移位效果的研究结果一致。