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白内障手术顺利完成后人工晶状体所在的晶状体囊自发脱位——白内障手术的罕见并发症。

Spontaneous dislocation of lens bag with acrylic lens after uneventful cataract surgery - unusual complication of cataract surgery.

作者信息

Shah Mehul A, Shah Shreya M, Mehta Ruchir, Shah Prerna

机构信息

Drashti Netralaya, Dahod, Gujarat, India.

出版信息

GMS Ophthalmol Cases. 2015 Nov 2;5:Doc11. doi: 10.3205/oc000033. eCollection 2015.

DOI:10.3205/oc000033
PMID:27625955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5015627/
Abstract

INTRODUCTION

Spontaneous dislocation of intraocular lens with bag is rare.

METHODS

We report a case of a 56-year-old male who presented with spontaneous anterior dislocation of an in-the-bag intraocular lens 3 years after manual small incision cataract surgery. He had undergone manual small incision cataract surgery with foldable acrylic intraocular lens implantation, and 18 months after cataract surgery ND: YAG capsulotomy with uneventful post capsulotomy follow-up. 17 months after capsulotomy, the patient presented with sudden decrease of vision. On anterior segment examination, the intraocular lens with bag was dislocated into the anterior chamber.

RESULT

It was managed with intraocular lens explantation with bag, anterior vitrectomy and sclera fixated intraocular lens.

CONCLUSION

Spontaneous intraocular lens dislocation with bag is possible after 1.5 years of uneventful surgery which may be managed using different techniques.

摘要

引言

带囊人工晶状体自发脱位较为罕见。

方法

我们报告一例56岁男性患者，在手法小切口白内障手术后3年出现囊内人工晶状体自发前脱位。他接受了手法小切口白内障手术并植入可折叠丙烯酸人工晶状体，白内障手术后18个月行钕:钇铝石榴石激光后囊切开术，术后后囊切开术随访情况良好。囊切开术后17个月，患者视力突然下降。眼前节检查发现，带囊人工晶状体脱位至前房。

结果

通过带囊人工晶状体摘除、前部玻璃体切除术和巩膜固定人工晶状体进行治疗。

结论

在手术顺利进行1.5年后，带囊人工晶状体有可能自发脱位，可采用不同技术进行处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/c2a702bc16cd/OC-05-11-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/8baec537945f/OC-05-11-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/2e4393d9158c/OC-05-11-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/c2a702bc16cd/OC-05-11-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/8baec537945f/OC-05-11-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/2e4393d9158c/OC-05-11-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40a0/5015627/c2a702bc16cd/OC-05-11-g-003.jpg

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