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术中光学相干断层扫描引导下松解角膜-晶状体粘连及抽吸晶状体在前发性晶状体脱位合并角膜水肿中的应用。

Intraoperative optical coherence tomography-guided release of lenticulo-corneal adhesion and lens aspiration in anterior dislocation of lens with corneal edema.

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2020 Mar;68(3):510-512. doi: 10.4103/ijo.IJO_1329_19.

DOI:10.4103/ijo.IJO_1329_19
PMID:32057014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7043159/
Abstract

PURPOSE

To describe the outcome of microscope integrated optical coherence tomography (MiOCT) guided removal of lenticulo-corneal adhesion and intralenticular lens aspiration (ILLA) in cases with anterior dislocation of the crystalline lens and corneal edema.

METHODS

MiOCT-guided ILLA was performed in three eyes of two cases of homocystinuria with spontaneous anterior dislocation of lens and corneal edema. Lenticulo-corneal adhesion was noted intraoperatively, which was not apparent pre-operatively. The lenticulo-corneal adhesion could be successfully peeled using intravitreal forceps and viscodissection with visco-dispersive viscoelastic under the guidance of MiOCT.

RESULTS

In all cases, the lenticulo-corneal adhesion could be successfully removed without any complication such as Descemet tear or worsening in corneal edema. Improvement in visual acuity was noted in all cases with resolution in corneal edema by 1 week.

CONCLUSION

MiOCT-guided ILLA can be extremely useful in cases of lenticulo-corneal adhesion especially in cases with corneal edema.

摘要

目的

描述在伴有晶状体前脱位和角膜水肿的情况下，使用显微镜集成光相干断层扫描（MiOCT）引导下进行晶状体-角膜粘连松解和晶状体内抽吸（ILLA）的结果。

方法

对 2 例同型胱氨酸尿症患者的 3 只眼睛进行了 MiOCT 引导下的 ILLA。术中发现晶状体前脱位和角膜水肿伴有晶状体-角膜粘连，术前并不明显。在 MiOCT 的引导下，使用玻璃体腔内镊子和粘弹剂的粘弹性分离，可以成功地剥离晶状体-角膜粘连。

结果

所有病例均成功去除了晶状体-角膜粘连，没有发生任何并发症，如撕囊或角膜水肿加重。所有病例的视力均有改善，角膜水肿在 1 周内消退。

结论

MiOCT 引导下的 ILLA 在晶状体-角膜粘连的病例中非常有用，特别是在伴有角膜水肿的病例中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/b79a4856f8e9/IJO-68-510-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/f02c33b6a74c/IJO-68-510-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/7445133e66f4/IJO-68-510-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/b79a4856f8e9/IJO-68-510-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/f02c33b6a74c/IJO-68-510-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/7445133e66f4/IJO-68-510-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6811/7043159/b79a4856f8e9/IJO-68-510-g003.jpg

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2
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BMJ Case Rep. 2019 Jan 18;12(1):bcr-2018-227047. doi: 10.1136/bcr-2018-227047.
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