Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2018 May;66(5):701-704. doi: 10.4103/ijo.IJO_893_17.
We present a case of posterior capsular defect with traumatic cataract after blunt trauma in which an extended focal length intraocular lens (IOL) was implanted in the bag after conventional phacoemulsification and anterior vitrectomy. Anterior segment optical coherence tomography performed preoperatively aided in the confirmation and documentation of the capsular integrity. Intraoperative trocar anterior chamber (AC) maintainer allowed AC maintenance without further complications. IOL was well centered postoperatively at 6 months, and the unaided visual acuity was 20/20 for distance and N8 for near. The report showed that an extended depth of focus IOL can be placed in eyes with ruptured posterior capsule for good visual outcome in posttraumatic young eyes and it may not be considered as a relative contraindication for it.
我们报告了一例在钝挫伤后发生的后囊膜破裂外伤性白内障病例，在常规超声乳化白内障吸除联合前段玻璃体切除术后，囊袋内植入了长焦点人工晶状体。术前眼前节光学相干断层扫描（OCT）有助于确认和记录囊膜完整性。术中使用套管前房维持器维持前房，没有出现进一步的并发症。术后 6 个月时，人工晶状体位置居中，远视力为 20/20，近视力为 N8。该报告表明，对于外伤性年轻眼，即使后囊膜破裂，也可将具有扩展景深的人工晶状体植入眼内，以获得良好的视觉效果，因此后囊膜破裂不应被视为植入此类人工晶状体的相对禁忌证。
