Xu Wen, Ye Pan-Pan, Yao Ke, Li Zhao-Chun, He Feng-Ying, Shi Jun-Ting, Liu Jun
Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China.
Int J Ophthalmol. 2011;4(4):454-7. doi: 10.3980/j.issn.2222-3959.2011.04.27. Epub 2011 Aug 18.
A 22-year-old patient suffering from both-side extreme hyperopia with amblyopia was corrected with an Artisan iris-fixated intraocular lens (IOL) implantation followed to clear lens extraction (CLE) with posterior chamber (PC)-IOL implantation. The preoperative refraction values were +17.75DS -1.50DC × 168° for the right eye and +17.25DS -0.75DC × 8° for the left eye. The uncorrected visual acuity (UCVA) was 20/200 bilaterally and the spectacle-corrected visual acuity (BSCVA) was 20/50 bilaterally. One year after Artisan iris-fixated IOL implantation, bilateral BSCVA was 20/50 with a refraction of +1.25DS -0.75DC × 13° for the right eye and +1.50DS -1.00DC × 55° for the left eye. The outcomes of an Artisan iris-fixated IOL implantation followed to CLE with PC-IOL implantation were encouraging for the correction of extreme hyperopia. Long term follow-up examinations were necessary for further determination of the efficacy and safety of this combinational procedure.
一名患有双侧高度远视并伴有弱视的22岁患者，先接受了Artisan虹膜固定型人工晶状体（IOL）植入术，随后进行了透明晶状体摘除术（CLE）并植入后房型（PC）人工晶状体进行矫正。术前右眼的屈光值为+17.75DS -1.50DC × 168°，左眼为+17.25DS -0.75DC × 8°。双眼裸眼视力（UCVA）均为20/200，双眼配镜矫正视力（BSCVA）均为20/50。Artisan虹膜固定型人工晶状体植入术后一年，双眼BSCVA为20/50，右眼屈光为+1.25DS -0.75DC × 13°，左眼为+1.50DS -1.00DC × 55°。Artisan虹膜固定型人工晶状体植入术联合CLE及PC人工晶状体植入术矫正高度远视的效果令人鼓舞。需要进行长期随访检查以进一步确定这种联合手术的有效性和安全性。
