巩膜缝线固定型 AKREOS AO60 人工晶状体在气体填充玻璃体切除术后的混浊：病例系列。
OPACIFICATION OF SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS AFTER VITRECTOMY WITH GAS TAMPONADE: CASE SERIES.
机构信息
West Coast Retina Medical Group, San Francisco, California.
Department of Ophthalmology, California Pacific Medical Center, San Francisco, California.
出版信息
Retin Cases Brief Rep. 2020 Spring;14(2):174-177. doi: 10.1097/ICB.0000000000000634.
BACKGROUND/PURPOSE: We report the first two cases of postoperative opacification of scleral-sutured Akreos AO60 intraocular lens after vitrectomy with the gas tamponade.
METHODS
Two patients with ectopia lentis underwent pars plana vitrectomy, pars plana lensectomy, and scleral fixation of an Akreos AO60 intraocular lens with Gore-Tex suture. Retinal breaks were noted during vitrectomy and consequently intravitreal gas tamponade was used after endolaser retinopexy. Postoperatively, both patients developed intraocular lens opacification but maintained excellent visual acuity; however, one patient developed bothersome though tolerable photophobia.
CONCLUSION
Although still an excellent option for the management of surgical aphakia in the absence of capsular support, caution should be taken when using a hydrophilic secondary intraocular lens, such as Akreos AO60, during vitreoretinal surgery if gas is required.
背景/目的：我们报告了两例玻璃体切割术后巩膜缝线固定的 Akreos AO60 人工晶状体混浊的病例，这些病例均采用了气体填充。
方法
两名晶状体异位患者接受了经睫状体平坦部玻璃体切除术、经睫状体平坦部晶状体切除术和巩膜固定 Akreos AO60 人工晶状体，并用 Gore-Tex 缝线固定。在玻璃体切割术中发现了视网膜裂孔，因此在眼内激光视网膜固定术后使用了眼内气体填充。术后，两名患者均出现人工晶状体混浊，但视力仍保持良好；然而，其中一名患者出现了令人困扰但可耐受的畏光。
结论
尽管在缺乏囊袋支持的情况下，Akreos AO60 等亲水性二期人工晶状体仍然是治疗手术性无晶状体的绝佳选择，但如果需要气体，在玻璃体视网膜手术中使用时应谨慎。
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