Department of Cornea and Anterior Segment Services, Sanjivni Eye Care, Ambala, Haryana, India.
Indian J Ophthalmol. 2011 Jul-Aug;59(4):314-7. doi: 10.4103/0301-4738.82004.
A 40-year-old lady presented with severe endothelial cell loss in both eyes 14 years after angle-supported phakic intraocular lens (AS PIOL) implantation. The left eye had severe corneal edema with bullous keratopathy. The right eye had markedly reduced endothelial cell count (655 cells/mm 2 ) although the cornea was clear. She underwent simultaneous bilensectomy (AS PIOL explantation and phacoemulsification) and Descemet's stripping and endothelial keratoplasty (DSEK) in the left eye. Explanted AS PIOL was identified as ZSAL-4 (Morcher, Stuttgart, Germany) model. Corneal edema cleared completely in 2 months with a best corrected visual acuity (-2.25 D sph) of 20/60. No intervention was done in the right eye. The present case illustrates that AS PIOL-induced endothelial decompensation can be effectively managed by simultaneous bilensectomy and endothelial keratoplasty.
一位 40 岁女性在接受有晶状体眼后房型虹膜支撑型人工晶状体（AS PIOL）植入 14 年后，双眼出现严重的内皮细胞丧失。左眼有严重的角膜水肿伴疱性角膜病变。右眼内皮细胞计数明显减少（655 个细胞/mm 2 ），但角膜透明。左眼行双眼白内障超声乳化吸除术联合双板层角膜切除术（DSEK）和 AS PIOL 晶状体摘除术。所取出的 AS PIOL 被鉴定为 ZSAL-4（德国莫尔谢，斯图加特）型号。术后 2 个月，角膜水肿完全消退，最佳矫正视力（-2.25D 球镜）为 20/60。右眼未行任何干预。本病例表明，双眼白内障超声乳化吸除术联合双板层角膜切除术和内皮角膜移植术可有效治疗 AS PIOL 诱导的内皮失代偿。
