Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY.
Can J Ophthalmol. 2013 Dec;48(6):478-81. doi: 10.1016/j.jcjo.2013.03.017.
Evaluation of haptic-induced postoperative complications with single-piece intraocular lenses (IOLs) using ultrasound biomicroscopy (UBM).
A retrospective case series.
We looked at 5 pseudophakic eyes with noninfectious postoperative complications, after undergoing phacoemulsification with posterior chamber intracapsular IOL placement.
A review of clinical findings as well as UBM measurements looking at the distance of the IOL from the posterior surface of the pupil on each side of the lens.
In all cases, UBM revealed malposition of the IOL, confirming IOL tilting and haptic displacement outside of the capsular bag.
UBM is a useful tool for early diagnosis of uveitis-glaucoma-hyphema syndrome because it enables visualization of the exact position of the IOL in vivo. In such cases, localization of the lens and haptics are essential in devising treatment strategies, such as repositioning of the haptics, haptic amputation, or removal of the IOL.
使用超声生物显微镜（UBM）评估单片式人工晶状体（IOL）引起的术后触发性并发症。
回顾性病例系列。
我们观察了 5 例后房型囊内 IOL 植入的白内障超声乳化术后发生非感染性术后并发症的假晶状体眼。
回顾临床发现以及 UBM 测量，观察晶状体两侧瞳孔后表面的 IOL 距离。
在所有病例中，UBM 均显示 IOL 位置不正，证实 IOL 倾斜，IOL 襻移位至囊袋外。
UBM 是诊断葡萄膜炎-青光眼-前房积血综合征的有用工具，因为它可以在体内显示 IOL 的准确位置。在这种情况下，晶状体和襻的定位对于制定治疗策略至关重要，例如重新定位襻、切断襻或取出 IOL。
