Chang Pei-Yao, Chang Shu-Wen
Department of Ophthalmology, Far Eastern Memorial Hospital, Ban-Chiao, Taipei, Taiwan.
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
Taiwan J Ophthalmol. 2015 Oct-Dec;5(4):192-194. doi: 10.1016/j.tjo.2014.10.003. Epub 2014 Dec 2.
We report a case of complete occlusion of capsulorrhexis opening in a patient with chronic angle closure glaucoma with fixed-dilated pupil in the following 2 weeks after an uneventful cataract surgery. The capsulorrhexis diameter was intended to make between 5.0 mm and 5.5 mm, to prevent photophobia afterward. There was no evidence of zonular weakness on preoperative examination or during the surgery. Nd:YAG anterior capsulotomy was performed for capsular phimosis and to enlarge capsulorrhexis. The patient regained her visual acuity 3 days after laser treatment, and no pseudophakodonesis, intraocular lens decentration, and re-phimosis were noted at the 3-month follow-up.
我们报告了一例在白内障手术顺利完成后的接下来两周内，患有慢性闭角型青光眼且瞳孔固定散大的患者，其撕囊口完全闭塞的病例。撕囊直径原本打算在5.0毫米至5.5毫米之间，以防止术后畏光。术前检查或手术过程中均未发现悬韧带薄弱的迹象。因囊膜缩窄和扩大撕囊口而进行了钕:钇铝石榴石前囊膜切开术。激光治疗3天后患者视力恢复，在3个月的随访中未发现人工晶状体震颤、人工晶状体偏位和再缩窄的情况。
