Brod R D, Flynn H W, Clarkson J G, Blankenship G W
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136.
Retina. 1990;10(1):50-6.
Six consecutive cases of retinal detachment occurring in the presence of a posteriorly dislocated intraocular lens were managed between 1978 and 1988. In three cases, a standard scleral buckling procedure was performed with successful retinal reattachment, leaving the dislocated implant in the inferior formed vitreous. In two cases, the implant was removed through the pars plana at the time of pars plana vitrectomy, fluid/gas exchange, and scleral buckling procedure. In the remaining case, the intraocular lens was repositioned with scleral fixation sutures after pars plana vitrectomy, fluid/gas exchange, and scleral buckling. All cases achieved and maintained retinal reattachment with visual improvement. Recommendations for management are discussed.
1978年至1988年间，对6例在人工晶状体后脱位情况下发生视网膜脱离的连续病例进行了处理。3例采用标准巩膜扣带术，视网膜成功复位，脱位的植入物留在下方的机化玻璃体中。2例在玻璃体切割术、液体/气体交换和巩膜扣带术时，通过睫状体扁平部取出植入物。在其余1例中，玻璃体切割术、液体/气体交换和巩膜扣带术后，用巩膜固定缝线重新定位人工晶状体。所有病例均实现并维持了视网膜复位，视力得到改善。文中讨论了处理建议。
