Cataract, Cornea and Refractive Surgery Department, Dr Agarwal's Group of Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, India.
Eye Contact Lens. 2010 Jan;36(1):45-8. doi: 10.1097/ICL.0b013e3181c786c2.
A posterior chamber intraocular lens (PCIOL) wrongly placed in anterior chamber (AC) can lead to progressive endothelial loss and damage to angle structures. We describe a sutureless, closed-chamber translocation technique to maneuver a PCIOL from AC into the PC and fixate it transsclerally with fibrin glue in presence of a large posterior capsular rent.
This is a prospective interventional case series. The participants were three cases of PCIOL in AC with high intraocular pressure and poor uncorrected visual acuity who underwent the translocation surgery successfully.
All cases showed improvement in uncorrected visual acuity, with lowered intraocular pressure and no loss in best spectacle-corrected visual acuity till 6 months follow-up.
This technique prevents a large incision, does not require a special IOL as in transscleral suture fixation, and results in a low endothelial cell loss.
后房人工晶状体（PCIOL）错误地位于前房（AC）可导致进行性内皮细胞丧失和角度结构损伤。我们描述了一种无缝线、封闭室移位技术，可将 PCIOL 从前房（AC）移至后房（PC），并在存在大后囊撕裂的情况下使用纤维蛋白胶经巩膜固定。
这是一项前瞻性介入性病例系列研究。参与者为 3 例 PCIOL 在 AC 中伴有高眼压和矫正视力不佳的患者，他们成功接受了移位手术。
所有病例的矫正视力均有提高，眼压降低，最佳矫正视力无损失，随访 6 个月。
该技术可防止大切口，不需要像经巩膜缝线固定那样使用特殊的 IOL，并且内皮细胞丢失率低。
