取出的多焦点人工晶状体。
Explanted multifocal intraocular lenses.
作者信息
van der Mooren Marrie, Steinert Roger, Tyson Farrell, Langeslag Michelle J M, Piers Patricia A
机构信息
From Abbott Medical Optics, Inc. (van der Mooren, Langeslag, Piers), Groningen, the Netherlands; Gavin Herbert Eye Institute (Steinert), University of California, Irvine, California; the Cape Coral Eye Center (Tyson), Cape Coral, Florida, USA.
From Abbott Medical Optics, Inc. (van der Mooren, Langeslag, Piers), Groningen, the Netherlands; Gavin Herbert Eye Institute (Steinert), University of California, Irvine, California; the Cape Coral Eye Center (Tyson), Cape Coral, Florida, USA.
出版信息
J Cataract Refract Surg. 2015 Apr;41(4):873-7. doi: 10.1016/j.jcrs.2015.02.005.
UNLABELLED
We report 2 cases in which single-piece multifocal acrylic intraocular lenses (IOLs) were explanted because of complications related to the presence of glistenings in the bulk of the IOL optic. In both cases, the patients complained about blurry or hazy vision. In vivo slitlamp examinations prior to IOL explantation confirmed the presence of severe glistenings in the IOL optic in 1 case and moderate glistenings in the second case. In the first case, the symptoms resolved and both corrected and uncorrected distance visual acuities improved by 4 lines following IOL exchange with a monofocal IOL. In the second case, the visual symptoms persisted with a hard contact lens. Symptoms resolved following an exchange with a monofocal IOL that was free of glistenings. These findings indicate that straylight caused by IOLs with glistenings may be clinically significant in cases in which multifocal IOLs are implanted and patients require optimized retinal sensitivity.
FINANCIAL DISCLOSURE
Mr. van der Mooren, Ms. Langeslag, and Dr. Piers are employees of Abbott Medical Optics, Inc. Drs. Steinert and Tyson are consultants to Abbott Medical Optics Inc.
未标注
我们报告2例因人工晶状体（IOL）光学部主体出现闪光相关并发症而取出一体式多焦点丙烯酸酯IOL的病例。两例患者均诉有视力模糊或视物朦胧。IOL取出术前的活体裂隙灯检查证实，其中1例IOL光学部存在严重闪光，另1例存在中度闪光。在第一例中，症状缓解，更换为单焦点IOL后，矫正和未矫正远视力均提高了4行。在第二例中，佩戴硬性角膜接触镜时视觉症状持续存在。更换为无闪光的单焦点IOL后症状缓解。这些发现表明，对于植入多焦点IOL且患者需要优化视网膜敏感度的病例，有闪光的IOL所导致的散射光可能具有临床意义。
财务披露
范德穆伦先生、兰格斯拉格女士和皮尔斯博士是雅培医疗光学公司的员工。斯坦纳特博士和泰森博士是雅培医疗光学公司的顾问。
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