Mastropasqua Leonardo, Toto Lisa, De Nicola Giulio, Nubile Mario, Carpineto Paolo
Department of Medicine and Science of Ageing, Eye Clinic, University G. D'Annunzio Chieti-Pescara, Chieti, Italy.
Ophthalmic Surg Lasers Imaging. 2009 Jul-Aug;40(4):399-402. doi: 10.3928/15428877-20096030-08.
A 72-year-old woman with cataract had phacoemulsification and intraocular lens implantation in the capsular bag with continuous curvilinear capsulorrhexis in the right eye. One day postoperatively, cortical remnants were noted between the posterior capsule and the intraocular lens optic located inferiorly. Uncorrected visual acuity was 1.0 and the patient was emmetropic. At a control visit 6 years postoperatively, the patient showed a hyperopic shift compared with the refraction of the first postoperative period with a best-corrected visual acuity of 0.4. A transparent liquefied substance that accumulated between the lens optic and the fibrotic capsule and surrounding the residual cortical masses was clearly visible using slit-lamp biomicroscopy and anterior segment optical coherence tomography. A surgical revision with aspiration of the cortical masses and the fluid was performed, resolving the capsular block syndrome. A neodymium:YAG laser posterior capsulotomy followed to clear the visual axis.
一名72岁患有白内障的女性右眼接受了白内障超声乳化吸除术，并在囊袋内植入人工晶状体，同时进行了连续环形撕囊。术后一天，在下方的后囊膜与人工晶状体光学部之间发现了皮质残留。裸眼视力为1.0，患者屈光正常。术后6年的一次复诊时，与术后初期的验光结果相比，患者出现了远视偏移，最佳矫正视力为0.4。使用裂隙灯生物显微镜检查和眼前节光学相干断层扫描可以清楚地看到，在晶状体光学部与纤维化囊膜之间以及围绕残留皮质团块积聚了一种透明的液化物质。进行了手术翻修，吸出了皮质团块和液体，解决了囊袋阻滞综合征。随后进行了钕:钇铝石榴石激光后囊膜切开术以清除视轴。
