Lee Dong-Hoon, Rah Sang-Hoon, Yoon Ie-Na
Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, #162 Ilsan-dong, Wonju, Korea.
Korean J Ophthalmol. 2009 Dec;23(4):309-11. doi: 10.3341/kjo.2009.23.4.309. Epub 2009 Dec 4.
A 32-year-old female who had undergone the silicone oil removal procedure presented with visual disturbance in her left eye. Several months previous, she had cataract surgery in a private clinic, and a month later she had a Nd:YAG laser procedure for posterior capsulotomy. The slit-lamp examination revealed silicone oil droplets that had adhered to the intraocular lens where the posterior capsulotomy was performed. She had experienced high myopia as a manifestation of the resulting refractive changes. We replaced the previous intraocular lens with a new acrylic intraocular lens with resulting improvement to her vision. Here we report the case of a female patient with a history of silicone oil removal surgery where the resulting silicone bubbles had not been removed thoroughly and remained in the vitreous cavity. These bubbles subsequently adhered to the intraocular lens following YAG laser posterior capsulotomy, resulting in refractive changes. We recommend that implanting a silicone intraocular lens in anyone with a history of the silicone oil removal procedure or who has a possible history of silicone oil use should be avoided.
一名接受过硅油取出术的32岁女性出现左眼视力障碍。几个月前，她在一家私人诊所接受了白内障手术，一个月后又接受了钕:钇铝石榴石激光后囊切开术。裂隙灯检查发现硅油滴附着在进行后囊切开术的人工晶状体上。由于屈光改变，她出现了高度近视。我们用一枚新的丙烯酸人工晶状体替换了之前的人工晶状体，她的视力因此得到改善。在此，我们报告一例有硅油取出手术史的女性患者，其产生的硅油气泡未被彻底清除，残留在玻璃体腔中。这些气泡随后在钕:钇铝石榴石激光后囊切开术后附着在人工晶状体上，导致屈光改变。我们建议应避免在有硅油取出手术史或可能有硅油使用史的任何人中植入硅酮人工晶状体。
