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[后房型人工晶状体的瞳孔捕获:原因及处理]

[Pupil capture of the posterior chamber intraocular lens: cause and management].

作者信息

Hao Y S

机构信息

Department of Ophthalmology, Fourth Military Medical University, Xi-an.

出版信息

Zhonghua Yan Ke Za Zhi. 1990 Nov;26(6):335-6.

PMID:2086150
Abstract

Pupil capture is a rare complication in posterior chamber intraocular lens implantation. Among 259 eyes with PC IOLs, pupil capture was noted in 6 eyes (2.3%), all J-loop planar lenses (6/119 or 5%), while none of the other 140 eyes with angled or modified J-loop lenses had pupil capture. The complication was successfully corrected by a loop compression maneuver through the sclera, and the patients had visual acuities over 1.0 on follow-up. Based on clinical observations and an experimental model, it was presumed that the arching forward of planar lenses could be the major cause of pupil capture.

摘要

瞳孔嵌顿是后房型人工晶状体植入术中一种罕见的并发症。在259只植入后房型人工晶状体的眼中,有6只眼(2.3%)出现了瞳孔嵌顿,均为J袢平面晶状体(6/119或5%),而其他140只植入角形或改良J袢晶状体的眼中均未出现瞳孔嵌顿。通过巩膜环压迫操作成功矫正了该并发症,患者随访时视力超过1.0。基于临床观察和实验模型,推测平面晶状体向前拱起可能是瞳孔嵌顿的主要原因。

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