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[因色素播散综合征（PDS）及美容性虹膜植入术（BrightOcular）后角膜失代偿行双侧虹膜植入物取出术]

[Bilateral explantation of iris implants due to pigment dispersion syndrome (PDS) and corneal decompensation after cosmetic iris implantation (BrightOcular)].

作者信息

Varna-Tigka Kleopatra, Löffler Franziska, Kohnen Thomas

机构信息

Klinik für Augenheilkunde, Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.

出版信息

Ophthalmologe. 2020 Nov;117(11):1116-1120. doi: 10.1007/s00347-020-01040-6.

DOI:10.1007/s00347-020-01040-6
PMID:32025791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7653791/
Abstract

This article reports the case of a 27-year-old female patient with pigment dispersion syndrome (PDS) and corneal edema in both eyes after cosmetic iris implantation (BrightOcular, Anaheim, CA, USA) in an Indian eye clinic in order to change the eye color. Explantation of the implants was recommended 3 years after implantation and after developing PDS due to the high risk of developing glaucoma and because of corneal decompensation due to loss of corneal endothelial tissue. Postoperatively, traumatic, middle wide and irregular pupils were present.

摘要

本文报道了一名27岁女性患者的病例，该患者在印度一家眼科诊所为改变眼睛颜色进行了美容性虹膜植入术（BrightOcular，美国加利福尼亚州阿纳海姆）后，出现双眼色素播散综合征（PDS）和角膜水肿。由于发生青光眼的高风险以及角膜内皮组织丧失导致角膜失代偿，植入术后3年，建议取出植入物。术后出现外伤性、中度散大且不规则的瞳孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/89ec5eba9d91/347_2020_1040_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/9d3e556765e4/347_2020_1040_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/1731e0fb1d66/347_2020_1040_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/c00953ee5a60/347_2020_1040_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/89ec5eba9d91/347_2020_1040_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/9d3e556765e4/347_2020_1040_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/ede2d00535bb/347_2020_1040_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/ee83d875261b/347_2020_1040_Fig3_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/1731e0fb1d66/347_2020_1040_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/c00953ee5a60/347_2020_1040_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8753/7653791/89ec5eba9d91/347_2020_1040_Fig7_HTML.jpg

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本文引用的文献

1
Postoperative results of cosmetic iris implants.美容性虹膜植入物的术后结果。
J Cataract Refract Surg. 2016 Oct;42(10):1518-1526. doi: 10.1016/j.jcrs.2016.08.013.
2
Pupillary Reconstruction and Outcome after Artificial Iris Implantation.瞳孔重建和人工虹膜植入术后的结果。
Ophthalmology. 2016 May;123(5):1011-8. doi: 10.1016/j.ophtha.2016.01.026. Epub 2016 Feb 28.
3
Corneal Endothelial Cell Loss and Iritis Associated With a New Cosmetic Iris Implant.与新型美容性虹膜植入物相关的角膜内皮细胞丢失和虹膜炎
JAMA Ophthalmol. 2015 Jun;133(6):723-4. doi: 10.1001/jamaophthalmol.2015.0488.
4
Severe glaucoma and vision loss due to cosmetic iris implants.因美容性虹膜植入物导致的严重青光眼和视力丧失。
Med J Aust. 2015 Mar 2;202(4):182. doi: 10.5694/mja14.01526.
5
Surgical technique for explantation of cosmetic anterior chamber iris implants.美容性前房虹膜植入物取出术的手术技术
J Cataract Refract Surg. 2015 Jan;41(1):18-22. doi: 10.1016/j.jcrs.2013.12.027.
6
Cosmetic iris implantation complicated by secondary angle closure.人工虹膜植入术后并发继发性房角关闭
Cont Lens Anterior Eye. 2015 Apr;38(2):142-3. doi: 10.1016/j.clae.2014.09.011. Epub 2014 Nov 8.
7
Prosthetic iris devices.人工虹膜装置
Can J Ophthalmol. 2014 Feb;49(1):6-17. doi: 10.1016/j.jcjo.2013.10.001.
8
Two cases of cosmetic iris implant explantation secondary to uveitis, glaucoma, and corneal decompensation.两例因葡萄膜炎、青光眼和角膜失代偿而进行的美容性虹膜植入物取出术。
Arch Ophthalmol. 2012 Jun;130(6):787-9. doi: 10.1001/archophthalmol.2011.2594.
9
Cosmetic iris implants.美容性虹膜植入物。
J Cataract Refract Surg. 2012 Mar;38(3):383. doi: 10.1016/j.jcrs.2012.01.015.
10
Serious ocular complications of cosmetic iris implants in 14 eyes.14 只眼的美容性虹膜植入术后严重眼部并发症。
J Cataract Refract Surg. 2012 Mar;38(3):387-93. doi: 10.1016/j.jcrs.2011.09.037. Epub 2012 Jan 11.