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1例阿拉吉列综合征合并人工晶状体半脱位和孔源性视网膜脱离。

A case of Alagille syndrome complicated by intraocular lens subluxation and rhegmatogenous retinal detachment.

作者信息

Fukumoto Masanori, Ikeda Tsunehiko, Sugiyama Tetsuya, Ueki Mari, Sato Takaki, Ishizaki Eisuke

机构信息

Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.

出版信息

Clin Ophthalmol. 2013;7:1463-5. doi: 10.2147/OPTH.S43753. Epub 2013 Jul 17.

DOI:10.2147/OPTH.S43753
PMID:23898221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3718843/
Abstract

This case report describes a case of Alagille syndrome with developing intraocular lens subluxation and rhegmatogenous retinal detachment 4 years after cataract surgery. A 15-year-old female patient with Alagille syndrome-associated cataracts in both eyes underwent phacoemulsification aspiration and intraocular lens implantation. Four years postoperative, intraocular lens subluxation developed in her left eye. For treatment, extraction of the dislocated intraocular lens, anterior vitrectomy, and intraocular lens fixation was performed. Three weeks later, the patient developed rhegmatogenous retinal detachment, which was well-treated by pars plana vitrectomy. Cataract surgery needs to be performed carefully in patients with Alagille syndrome due to the weakness of the zonule of Zinn. Careful postoperative observation is necessary for patients with Alagille syndrome who have undergone intraocular surgery in order to facilitate early detection of a possible rhegmatogenous retinal detachment.

摘要

本病例报告描述了1例患有阿拉吉列综合征的患者，在白内障手术后4年出现人工晶状体半脱位和孔源性视网膜脱离。一名15岁患有双眼阿拉吉列综合征相关性白内障的女性患者接受了超声乳化吸除术和人工晶状体植入术。术后4年，她的左眼发生人工晶状体半脱位。为进行治疗，实施了脱位人工晶状体摘除、前部玻璃体切除术和人工晶状体固定术。三周后，该患者发生孔源性视网膜脱离，通过玻璃体切除术得到了良好治疗。由于悬韧带薄弱，阿拉吉列综合征患者进行白内障手术时需要谨慎操作。对于接受过眼内手术的阿拉吉列综合征患者，术后进行仔细观察很有必要，以便尽早发现可能的孔源性视网膜脱离。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/6ace1e328483/opth-7-1463Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/34802ca7b919/opth-7-1463Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/22fcedbc5221/opth-7-1463Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/082dcd89d873/opth-7-1463Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/6ace1e328483/opth-7-1463Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/34802ca7b919/opth-7-1463Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/22fcedbc5221/opth-7-1463Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/082dcd89d873/opth-7-1463Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde9/3718843/6ace1e328483/opth-7-1463Fig4.jpg

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