Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Switzerland.
Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Switzerland.
J Cataract Refract Surg. 2019 Sep;45(9):1346-1348. doi: 10.1016/j.jcrs.2019.04.014.
An 84-year-old monocular woman was referred to our institution for the management of corneal decompensation in her only eye, the right eye. The patient had secondary implantation of an anterior chamber iris-claw intraocular lens (IOL) for IOL dislocation in the setting of pseudoexfoliation syndrome 2 years before presentation. Descemet-stripping automated endothelial keratoplasty (DSAEK) combined with retropupillary repositioning of the iris-claw IOL using a flipping technique was performed for the treatment of corneal edema. No intraoperative or postoperative complications occurred. Six months postoperatively, the corneal graft was attached and clear and the retropupillary iris-claw IOL was well positioned. The uncorrected distance visual acuity and corrected distance visual acuity improved from counting fingers preoperatively to 20/200 and 20/63, respectively, after surgery. Combined DSAEK and retropupillary refixation of a prepupillary iris-claw IOL using the flipping technique was a safe technique in this patient with corneal decompensation.
一位 84 岁单眼女性因右眼角膜失代偿而被转诊至我院。该患者在 2 年前曾因假性剥脱综合征导致人工晶状体脱位而二次植入前房虹膜扣式人工晶状体。为治疗角膜水肿，采用撕囊自动化内皮角膜移植术（DSAEK）联合翻转技术将虹膜扣式人工晶状体经后房重新定位。术中及术后均无并发症发生。术后 6 个月，角膜移植片在位且透明，后房虹膜扣式人工晶状体位置良好。术后未矫正的远视力和矫正的远视力分别从术前的指数提高至 20/200 和 20/63。在该角膜失代偿患者中，采用翻转技术联合 DSAEK 后房重新固定前房虹膜扣式人工晶状体是一种安全的技术。
