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术后晚期囊袋阻滞综合征与液化性后发性白内障

Late postoperative capsular block syndrome versus liquefied after-cataract.

作者信息

Bao Yong-Zhen, Pei Xue-Ting, Li Ming-Wu, Li Xiao-Xin

机构信息

People Eye Center, People's Hospital of Peking University, Beijing, China.

出版信息

J Cataract Refract Surg. 2008 Oct;34(10):1799-802. doi: 10.1016/j.jcrs.2008.04.057.

DOI:10.1016/j.jcrs.2008.04.057
PMID:18812136
Abstract

We report the case of a 76-year-old Chinese man who had uneventful cataract phacoemulsification and hydrophilic acrylic intraocular lens (IOL) implantation 6 years previously. He presented with decreased vision; a homogeneous milky substance was found between the posterior chamber IOL and the posterior capsule without IOL displacement or a change in the refractive status. The milky substance was aspirated from the capsular bag. Biochemical analysis showed the concentrations of proteins and Ca(++) in the milky liquid were higher than those in the aqueous humor. Protein identification by mass spectrometry indicated that the milky liquid contained a high concentration of alpha-crystallin and beta-crystallin.

摘要

我们报告了一例76岁中国男性患者的病例,该患者6年前接受了白内障超声乳化吸除术及亲水性丙烯酸人工晶状体(IOL)植入术,手术过程顺利。他出现了视力下降;在后房型IOL与后囊膜之间发现一种均匀的乳状物质,IOL未移位,屈光状态也未改变。从囊袋中吸出了该乳状物质。生化分析显示,乳状液中蛋白质和Ca(++)的浓度高于房水。通过质谱进行的蛋白质鉴定表明,乳状液中含有高浓度的α-晶状体蛋白和β-晶状体蛋白。

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Management of late-onset flocculent after-cataract with capsular bag lavage and posterior continuous curvilinear capsulorhexis.应用囊袋冲洗和后连续环形撕囊术治疗迟发性后囊混浊。
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