Oxford Eye Hospital, Oxford University Hospitals, Oxford, UK.
Eye (Lond). 2013 Dec;27(12):1388-90. doi: 10.1038/eye.2013.206. Epub 2013 Sep 13.
To report the incidence of anterior capsule contraction syndrome (ACCS) and to present a novel minimally invasive bimanual technique for anterior segment revision surgery associated with ACCS with anterior flexion of the intraocular lens haptics.
A consecutive cohort of 268 eyes of 161 patients undergoing phacoemulsification and implantation of the same type of hydrophilic acrylic aspheric intraocular lens cohort were analysed and a novel technique of minimally invasive bimanual technique for anterior segment revision surgery is described.
We identified four eyes (1.5%) of three patients with advanced ACCS. Successful restoration of a clear visual axis with minimal induction of astigmatism and rapid visual rehabilitation was achieved in all four cases.
This technique is a safe and minimally invasive alternative to laser or vitrector-cut capsulotomy to restore a clear visual axis. In cases of advanced ACCS, it offers the option for haptic reposition or amputation.
报告前囊收缩综合征（ACCS）的发生率，并介绍一种新的微创双手技术，用于治疗与前囊前屈的人工晶状体襻相关的前节修正手术。
对 161 例 268 只眼接受白内障超声乳化吸除术和同一类型亲水性丙烯酸非球面人工晶状体植入的连续队列进行分析，并描述一种新的微创双手技术，用于治疗前节修正手术。
我们发现 3 名患者的 4 只眼（1.5%）患有晚期 ACCS。所有 4 例均成功恢复清晰的视觉轴，同时最小程度地诱导散光，并迅速恢复视力。
该技术是一种安全、微创的替代激光或玻璃体切割术治疗前囊收缩综合征的方法，可恢复清晰的视觉轴。对于晚期 ACCS，它还提供了人工晶状体襻重新定位或截断的选择。
