扁平部玻璃体切除术在虹膜固定型前房有晶状体眼人工晶状体植入术后巨大视网膜裂孔和视网膜脱离治疗中的应用
Pars plana vitrectomy in management of giant retinal tear and retinal detachment following iris-fixated anterior chamber phakic intraocular lens implantation.
作者信息
Sen Sagnik, Ravani Raghav Dinesh, Kakkar Prateek, Kumar Atul
机构信息
Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
出版信息
BMJ Case Rep. 2018 Dec 22;11(1):e228052. doi: 10.1136/bcr-2018-228052.
Abstract
This case report describes a 26-year-old man presenting with a giant retinal tear (GRT) with retinal detachment (RD) following implantation of iris-fixated anterior chamber phakic intraocular lens (AC-PIOL) for high myopia and occurrence of intraoperative aberrations during vitrectomy due to the presence of AC-PIOL in situ. Posterior chamber PIOL have been well reported to be associated with GRT with RD. Very few reports exist of GRT with RD following AC-PIOL. Moreover, the presence of iris-fixated AC-PIOL, in this case, led to the formation of ghost images intraoperatively especially during crucial steps like induction of posterior vitreous detachment which has never been reported.
摘要
本病例报告描述了一名26岁男性，在植入虹膜固定型前房型有晶状体眼人工晶状体（AC-PIOL）治疗高度近视后出现巨大视网膜裂孔（GRT）伴视网膜脱离（RD），并且由于原位存在AC-PIOL，在玻璃体切除术中出现了术中像差。后房型人工晶状体与GRT伴RD的相关性已有大量报道。AC-PIOL术后发生GRT伴RD的报道极少。此外，在本病例中，虹膜固定型AC-PIOL的存在导致术中出现重影，尤其是在诱导玻璃体后脱离等关键步骤中，这从未有过报道。
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