New Jersey Retina, New Brunswick, New Jersey.
Rutgers, Robert Wood Johnson Medical School, New Brunswick, New Jersey; and.
Retin Cases Brief Rep. 2021 Sep 1;15(5):622-624. doi: 10.1097/ICB.0000000000000865.
To describe a novel surgical technique for rescuing a dislocated "in-the-bag" accommodative intraocular lens (Crystalens; Bausch and Lomb Inc, Rochester NY) and report its postoperative outcome.
Interventional case report. An 82-year-old patient with history of pseudoexfoliation syndrome presented with a posteriorly dislocated "in-the-bag" Crystalens intraocular lens. A pars plana vitrectomy was performed. The Crystalens intraocular lens was rescued, and scleral sulcus fixated using prolene suture.
No intraoperative or postoperative complications were noted. The preoperative visual acuity was 6/200. The vision improved to 20/30, 8 weeks after the surgery.
Rescuing, instead of exchanging, a Crystalens intraocular lens might be a safe alternative in patients with a dislocated "in-the-bag" Crystalens intraocular lens.
描述一种新颖的手术技术,用于挽救脱位的“囊袋内”可调节人工晶状体(Crystalens;Bausch and Lomb Inc,罗彻斯特,纽约),并报告其术后结果。
介入性病例报告。一位 82 岁的假性剥脱综合征患者,出现了后脱位的“囊袋内”Crystalens 人工晶状体。进行了经睫状体平坦部玻璃体切除术。挽救了 Crystalens 人工晶状体,并使用丙纶缝线将其固定在巩膜嵴。
术中及术后均无并发症发生。术前视力为 6/200。术后 8 周,视力提高至 20/30。
在“囊袋内”脱位的 Crystalens 人工晶状体患者中,挽救而不是更换 Crystalens 人工晶状体可能是一种安全的替代方法。