New York Eye and Ear Infirmary of Mount Sinai, 310 E 14th St, New York, NY, 10003, USA.
Lewis Katz School of Medicine at Temple University, 3500 N Broad St, Philadelphia, PA, 19140, USA.
BMC Ophthalmol. 2020 Jan 30;20(1):39. doi: 10.1186/s12886-020-1327-3.
The case describes a rare entity. Most cases of IOL dislocation are associated with surgical trauma or preexisting zonulopathy. This patient presents IOL dislocation following routine exam, suggesting the need of careful evaluation of zonular integrity on pseudopahkic patients.
Patient is a 65 year old who presented with sudden loss of vision and pain following retinal examination using scleral depression. Patient was diagnosed with late intraocular lens dislocation, which was subsequently for proper repositioning of IOL.
Pseduophakic eyes should be approached with caution when scleral indentation is attempted due to the possibility of zonular dehiscence and subsequent intraocular lens dislocation.
本病例描述了一种罕见的情况。大多数人工晶状体脱位的病例与手术创伤或预先存在的悬韧带病变有关。本例患者在常规检查后出现人工晶状体脱位，提示在假性近视患者中需要仔细评估悬韧带的完整性。
患者为 65 岁女性，在使用巩膜压迫法进行视网膜检查后出现视力突然丧失和疼痛。患者被诊断为人工晶状体后发性脱位，随后进行了适当的人工晶状体复位。
在尝试巩膜压陷时，应谨慎对待假性近视眼，因为可能会出现悬韧带破裂和随后的人工晶状体脱位。
