Zuberbuhler Bruno, Carifi Gianluca
Manchester Academic Health Science Centre, Manchester, UK ; Centre for Health Informatics, City University London, London, UK.
Saudi J Ophthalmol. 2012 Jan;26(1):109-11. doi: 10.1016/j.sjopt.2011.11.004. Epub 2011 Nov 28.
A heterogeneous group of conditions can cause changes to the intraocular lens (IOL) during or after implantation in uneventful cataract surgery. We describe a series of 5 patients presenting distinctive deposits on the surface of hydrophilic intraocular lenses, implanted during routine cataract surgery, with a follow-up of 1 to 24 months. Disposable forceps were found to be the source of the pigmented marks when used to hold the lens during the injector loading process. At the slit-lamp examination, the pigments were located in the centre of the lens optic, easily detectable. Although involving the visual axis, none of the patients were visually affected. To our knowledge, this is the first time such unusual occurrence has been described. The reported case-series shows the importance of in-house follow-up after cataract surgery.
在顺利的白内障手术中或术后，多种不同情况可导致人工晶状体（IOL）发生变化。我们描述了5例患者，他们在常规白内障手术中植入亲水性人工晶状体后，在随访1至24个月期间，人工晶状体表面出现了独特的沉积物。结果发现，一次性镊子在注射器装载过程中用于夹持晶状体时，是色素沉着痕迹的来源。在裂隙灯检查中，色素位于晶状体光学部的中央，很容易被检测到。尽管色素沉着涉及视轴，但所有患者的视力均未受到影响。据我们所知，这是首次描述这种不寻常的情况。报告的这组病例显示了白内障手术后院内随访的重要性。
