Department of Ophthalmology, Hospital de la Santa Creu i de Sant Pau, Barcelona, Spain.
J Cataract Refract Surg. 2010 Oct;36(10):1790-1. doi: 10.1016/j.jcrs.2010.07.001.
We present 2 cases of intraocular lens (IOL) dislocation that appeared shortly after the patients exercised on a vibration platform. The first patient was a 71-year-old woman who presented with lens subluxation in her right eye and a complete posterior IOL dislocation in her left eye. The second case was a 62-year-old woman who presented with unilateral IOL dislocation within the capsular bag in her right eye. Timing from IOL implantation to dislocation was approximately 6 years and 4 years, respectively. Pars plana vitrectomy with removal of the dislocated IOL was performed in both patients. Whole-body vibration training has become increasingly popular as a form of exercise training. It reportedly may provide benefits in physical function and in some diseases, especially in older people. However, evidence-based protocols ensuring safety and efficacy in this population are lacking. We discuss vibration as a cause of late IOL dislocation.
我们报告了 2 例在振动平台上运动后不久出现的人工晶状体(IOL)脱位病例。第一例患者为 71 岁女性,右眼晶状体半脱位,左眼后房型 IOL 完全脱位。第二例为 62 岁女性,右眼囊袋内单侧 IOL 脱位。从 IOL 植入到脱位的时间分别约为 6 年和 4 年。两名患者均行巩膜外玻璃体切除术联合脱位 IOL 切除。全身振动训练作为一种运动训练形式越来越受欢迎。据报道,它可能对身体功能和某些疾病(尤其是老年人)有益。然而,在这一人群中缺乏确保安全性和有效性的基于证据的方案。我们讨论了振动作为导致晚期 IOL 脱位的原因。