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眼内多焦点人工晶状体引起的色素播散和难治性继发性青光眼。

In-the-bag multifocal intraocular lens causing pigment dispersion and refractory secondary ocular hypertension.

机构信息

VST Glaucoma Center, L V Prasad Eye Institute, Hyderabad, Telangana, India.

出版信息

Indian J Ophthalmol. 2018 Sep;66(9):1339-1341. doi: 10.4103/ijo.IJO_198_18.

DOI:10.4103/ijo.IJO_198_18
PMID:30127166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6113817/
Abstract

Pigment dispersion and elevated intraocular pressure (IOP) with sulcus placed hydrophobic acrylic intraocular lenses (IOLs) are described and are rare with in-the-bag IOLs. We report a case of a young lady with elevated IOP and pigment dispersion in one eye following an uneventful phacoemulsification and multifocal IOL implantation. The eye had eccentric capsulorrhexis and localized capsular fibrosis with anterior displacement of the IOL optic, resulting in pigment dispersion. The uncontrolled IOP and continued pigment dispersion were managed with IOL exchange (three-piece IOL) followed by filtration surgery, which helped to resolve the condition successfully.

摘要

描述了疏水丙烯酸人工晶状体（IOL）植入后发生的色素播散和眼内压（IOP）升高，这种情况在囊袋内 IOL 中很少见。我们报告了一例年轻女性在白内障超声乳化吸除术和多焦点 IOL 植入术后一只眼发生 IOP 升高和色素播散的病例。该眼存在偏心的囊膜环形撕囊和局限性囊膜纤维化，导致 IOL 光学部向前移位，从而引发色素播散。通过 IOL 置换（三件式 IOL）联合滤过性手术来控制眼压和持续的色素播散，这有助于成功解决该情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/497e22f84286/IJO-66-1339-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/bd0a4db8ad6a/IJO-66-1339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/4760cdd21a7b/IJO-66-1339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/ac9cedf3fd6c/IJO-66-1339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/51ca11f96a68/IJO-66-1339-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/497e22f84286/IJO-66-1339-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/bd0a4db8ad6a/IJO-66-1339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/4760cdd21a7b/IJO-66-1339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/ac9cedf3fd6c/IJO-66-1339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/51ca11f96a68/IJO-66-1339-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5927/6113817/497e22f84286/IJO-66-1339-g005.jpg

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本文引用的文献

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Recurrent uveitis and pigment dispersion in an eye with in-the-bag acrylic foldable intraocular lens.植入囊袋内丙烯酸折叠式人工晶状体眼的复发性葡萄膜炎和色素播散
BMJ Case Rep. 2016 Feb 26;2016:bcr2015213968. doi: 10.1136/bcr-2015-213968.
2
Uveitis-glaucoma-hyphaema syndrome with in-the-bag placement of intraocular lens.葡萄膜炎-青光眼-前房积血综合征合并眼内晶状体囊袋内植入
BMJ Case Rep. 2016 Jan 19;2016:bcr2015213745. doi: 10.1136/bcr-2015-213745.
3
Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.在袋内葡萄膜炎-青光眼-前房积血综合征的发病机制。
J Cataract Refract Surg. 2014 Mar;40(3):490-2. doi: 10.1016/j.jcrs.2013.12.002. Epub 2014 Jan 11.
4
Complications of sulcus placement of single-piece acrylic intraocular lenses: recommendations for backup IOL implantation following posterior capsule rupture.单片丙烯酸酯人工晶状体沟内植入的并发症：后囊破裂后备用人工晶状体植入的建议。
J Cataract Refract Surg. 2009 Aug;35(8):1445-58. doi: 10.1016/j.jcrs.2009.04.027.
5
Pigmentary glaucoma secondary to in-the-bag intraocular lens implantation.囊袋内人工晶状体植入术后继发的色素性青光眼。
J Cataract Refract Surg. 2008 Sep;34(9):1595-7. doi: 10.1016/j.jcrs.2008.04.054.
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