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人工晶状体和囊袋张力环自发性晚期脱位

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation.

作者信息

Koçak Altıntaş Ayşe Gül, Omay Aslıhan Esra, Çelik Selda

机构信息

Ulucanlar Eye Training and Research Hospital, Ophthalmology Clinic, Ankara, Turkey.

出版信息

Turk J Ophthalmol. 2017 Apr;47(2):106-109. doi: 10.4274/tjo.79836. Epub 2017 Apr 1.

DOI:10.4274/tjo.79836
PMID:28405485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5384115/
Abstract

In this report, three cases with pseudoexfoliation (PEX) and advanced age with spontaneous intraocular lens (IOL) and capsule tension ring (CTR) dislocation were presented. All of our cases experienced progressive vision loss without an episode of strenuous physical activity, trauma, or any other ocular disease. Spontaneous dislocation was observed 2.5 to 8 years after uneventful phacosurgery. Each patient underwent complete IOL and CTR removal combined with anterior chamber IOL implantation. No complications were noticed during follow-up. As a result, capsule tension ring does not prevent late IOL dislocation after uncomplicated phacosurgery in the presence of PEX. Therefore, close follow-up is essential for patients with PEX.

摘要

在本报告中，我们呈现了三例患有假性剥脱综合征（PEX）且年龄较大的患者，他们的人工晶状体（IOL）和囊袋张力环（CTR）出现了自发性脱位。我们所有的病例均在没有剧烈体育活动、外伤或任何其他眼部疾病发作的情况下出现了渐进性视力丧失。在顺利完成白内障超声乳化吸除术后2.5至8年观察到了自发性脱位。每位患者均接受了完整的人工晶状体和囊袋张力环摘除术，并联合前房人工晶状体植入术。随访期间未发现并发症。因此，在存在假性剥脱综合征的情况下，囊袋张力环并不能防止在无并发症的白内障超声乳化吸除术后人工晶状体晚期脱位。所以，对于患有假性剥脱综合征的患者，密切随访至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/38d9c5c8a7f8/TJO-47-106-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/c6de9a00c0ea/TJO-47-106-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/f9503cf22b86/TJO-47-106-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/38d9c5c8a7f8/TJO-47-106-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/c6de9a00c0ea/TJO-47-106-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/f9503cf22b86/TJO-47-106-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78f1/5384115/38d9c5c8a7f8/TJO-47-106-g3.jpg

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本文引用的文献

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Long-Term Outcome of Cataract Surgery in Eyes with Pseudoexfoliation Syndrome Associated with Weak Zonules: A Case Report.伴有松弛小带的假性剥脱综合征患者白内障手术的长期预后：一例报告
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病理性近视白内障手术后的双侧囊膜收缩综合征
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Capsule contraction syndrome in Behcet's disease.白塞病中的胶囊收缩综合征。
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