Mohammadpour Mehrdad, Mazloumi Mehdi, Khorrami-Nejad Masoud
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA.
Int Med Case Rep J. 2020 May 28;13:225-228. doi: 10.2147/IMCRJ.S255085. eCollection 2020.
To describe a case with acute postoperative uveitis, posterior synechia and iris atrophy following iris-claw phakic intraocular lens (pIOL) implantation.
A case report.
A 26-year-old man with high myopia had implantation of a -14.0 diopter, foldable, iris-claw Artiflex (model 401) anterior chamber pIOL (Ophtec B.V.) in both eyes. On the third postoperative day, the patient had significant postoperative inflammation in the left eye and received topical steroids and mydriatic eye drops. On the fifth postoperative day, the right eye had a round pupil and centered pIOL, but the left eye had an atrophic iris and dilated pupil with significant posterior synechias over the inferior half of the pupil. Despite intensive topical steroid application, the synechias remained one year after surgery.
Severe uveitis with posterior synechia can occur after iris-claw pIOL implantation. We hypothesized that excessive iris tissue enclavation in the pIOLs haptics and large iridotomies may be an associated factor.
描述一例虹膜夹型有晶状体眼人工晶状体（pIOL）植入术后发生急性葡萄膜炎、后粘连及虹膜萎缩的病例。
病例报告。
一名26岁高度近视男性双眼植入了-14.0屈光度、可折叠的虹膜夹型Artiflex（401型）前房pIOL（荷兰Ophtec B.V.公司）。术后第3天，患者左眼出现明显的术后炎症，接受了局部类固醇和散瞳眼药水治疗。术后第5天，右眼瞳孔圆形且人工晶状体居中，但左眼虹膜萎缩、瞳孔散大，瞳孔下半部有明显的后粘连。尽管术后持续大量应用局部类固醇，粘连在术后1年仍存在。
虹膜夹型pIOL植入术后可发生伴有后粘连的严重葡萄膜炎。我们推测，pIOL袢中过多的虹膜组织嵌入及较大的虹膜切开术可能是相关因素。
