Burke Tomas R, Benjamin Larry
From the Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom.
From the Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom.
J Cataract Refract Surg. 2014 Sep;40(9):1469-72. doi: 10.1016/j.jcrs.2013.11.037. Epub 2014 Jun 20.
To determine whether intraocular lens (IOL) exchange with insertion of a sulcus-fixated IOL is an effective treatment for the management of pseudophakic negative dysphotopsia.
Department of Ophthalmology, Stoke Mandeville Hospital, Buckinghamshire, United Kingdom.
Case series.
Participants in the study were recruited prospectively from the clinic at the time of diagnosis or retrospectively from the operating room logs by identifying all patients who had IOL exchanges over a 4-year period (2009 to 2012).
Five eyes of 5 women with negative dysphotopsia were treated with IOL exchange and replacement with a 3-piece IOL (Acrysof MA60AC) inserted in the ciliary sulcus. All patients had a resolution of the negative dysphotopsia symptoms. One patient had primary insertion of a sulcus IOL in the fellow eye and did not develop negative dysphotopsia symptoms.
Intraocular lens exchange with insertion of a 3-piece IOL in the ciliary sulcus appears to be a safe and effective treatment for the management of pseudophakic negative dysphotopsia.
Neither author has a financial or proprietary interest in any material or method mentioned.
确定通过植入睫状沟固定型人工晶状体（IOL）进行人工晶状体置换术是否是治疗假晶状体性负性暗点的有效方法。
英国白金汉郡斯托克曼德维尔医院眼科。
病例系列。
研究参与者在诊断时从诊所前瞻性招募，或通过识别4年期间（2009年至2012年）所有接受人工晶状体置换术的患者，从手术室记录中回顾性招募。
5名患有负性暗点的女性的5只眼睛接受了人工晶状体置换术，并植入了一枚3片式人工晶状体（Acrysof MA60AC），置于睫状沟内。所有患者的负性暗点症状均得到缓解。1例患者在对侧眼初次植入睫状沟人工晶状体，未出现负性暗点症状。
通过植入一枚3片式人工晶状体至睫状沟进行人工晶状体置换术，似乎是治疗假晶状体性负性暗点的一种安全有效的方法。
两位作者均对文中提及的任何材料或方法没有财务或专利权益。
