Mikropoulos Dimitrios G, Kymionis George D, Grentzelos Michael A, Voulgari Nafsika, Katsanos Andreas, Konstas Anastasios G
3rd University Department of Ophthalmology, Aristotle University, Thessaloniki, Greece.
Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des aveugles, Lausanne, Switzerland.
Ophthalmol Ther. 2019 Sep;8(3):497-500. doi: 10.1007/s40123-019-0198-2. Epub 2019 Jul 17.
To report the management of a patient with traumatic mydriasis, aphakia and corneal decompensation with a triple procedure: simultaneous pupilloplasty and retropupillary iris-claw intraocular lens (IOL) implantation combined with Descemet stripping automated endothelial keratoplasty (DSAEK).
An 88-year-old woman was referred to our Institute for consultation on her left eye. The patient had undergone surgical removal of the IOL, without re-implantation, in her left eye 10 months prior to presentation due to traumatic IOL dislocation. At the time of examination, corrected distance visual acuity was counting fingers and intraocular pressure was 10 mmHg. Slit-lamp examination revealed iridoplegia, aphakia and corneal edema. The patient underwent simultaneous pupilloplasty and retropupillary iris-claw IOL implantation combined with DSAEK. Six months postoperatively, the corneal graft was attached and clear, the iris was well reconstructed and almost round, and the iris-claw IOL was in place.
Simultaneous pupilloplasty and retropupillary iris-claw IOL implantation combined with DSAEK was shown to be a safe surgical technique in a patient with traumatic mydriasis, aphakia and corneal decompensation.
报告一例患有外伤性瞳孔散大、无晶状体眼和角膜失代偿患者的三联手术治疗：同期瞳孔成形术和瞳孔后虹膜爪型人工晶状体（IOL）植入联合Descemet膜剥离自动角膜内皮移植术（DSAEK）。
一名88岁女性因左眼问题转诊至我院咨询。该患者在就诊前10个月因外伤性人工晶状体脱位接受了左眼人工晶状体手术摘除，未进行再植入。检查时，矫正远视力为指数，眼压为10 mmHg。裂隙灯检查显示虹膜麻痹、无晶状体眼和角膜水肿。该患者接受了同期瞳孔成形术、瞳孔后虹膜爪型人工晶状体植入联合DSAEK手术。术后6个月，角膜移植片附着良好且透明，虹膜重建良好且几乎呈圆形，虹膜爪型人工晶状体在位。
同期瞳孔成形术、瞳孔后虹膜爪型人工晶状体植入联合DSAEK在患有外伤性瞳孔散大、无晶状体眼和角膜失代偿的患者中显示为一种安全的手术技术。
