Giers Bert C, Khoramnia Ramin, Weber Lea F, Tandogan Tamer, Auffarth Gerd U
From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
J Cataract Refract Surg. 2016 Mar;42(3):489-93. doi: 10.1016/j.jcrs.2016.02.001.
We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious that the implanted IOL had rotated and tilted due to insufficient fixation in the large capsular bag of the myopic eye. An IOL explantation was therefore performed, and the original IOL was exchanged for a bifocal toric IOL with a larger overall diameter. Stable fixation of the IOL in the capsular bag was achieved, and after surgery in the second eye, the patient recovered good bilateral vision. This case illustrates the need for careful selection of IOL diameter and sizing even in patients with moderate myopia due to the potentially larger ocular dimensions in these patients.
我们报告了一例56岁患有中度近视和双侧白内障的女性患者，她接受了白内障摘除和人工晶状体（IOL）植入手术。由于患者希望摆脱眼镜，因此植入了具有散光矫正功能的三焦点IOL。在随访期间，很明显植入的IOL因在近视眼的大囊袋中固定不足而发生了旋转和倾斜。因此进行了IOL取出术，并将原来的IOL换成了总体直径更大的双焦点散光IOL。IOL在囊袋中实现了稳定固定，在第二只眼手术后，患者恢复了良好的双眼视力。该病例表明，即使是中度近视患者，由于这些患者的眼尺寸可能更大，因此也需要仔细选择IOL直径和尺寸。
