Manchester Royal Eye Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1553-1558. doi: 10.1080/09273948.2020.1764592. Epub 2020 Jul 9.
: To describe practical approaches to the management of subluxed or dislocated intraocular lenses (IOL) in patients with uveitis.: Retrospective case series from a specialist uveitis clinic: Fifteen IOLs in 13 patients were subluxed inferiorly (12) or dislocated into anterior chamber (2) or vitreous (1) at a mean delay of 12 years after cataract surgery. Six eyes required vitrectomy and seven IOL explantation. A dislocated IOL was repositioned by scleral fixation in one, and a new IOL was implanted in three (two scleral-sutured, one iris-claw). Eight were observed without surgery and 7 were left functionally aphakic (4 corrected with contact lens). The mean final best-corrected visual acuity was 0.6 LogMAR.: There are several management choices for IOL dislocation which should take into account the degree of uveitis, patient age and expectations. We present a pragmatic approach: surgery can often be avoided in this high-risk group.
描述治疗葡萄膜炎患者半脱位或脱位的眼内人工晶状体 (IOL) 的实用方法。
回顾性病例系列，来自一家葡萄膜炎专科诊所：
在白内障手术后平均 12 年的延迟后，13 名患者中有 15 个 IOL 出现下脱位（12 个）或前房脱位（2 个）或玻璃体脱位（1 个）。
6 只眼需要玻璃体切割术，7 只眼需要 IOL 取出。
1 只通过巩膜固定术重新定位脱位的 IOL，3 只植入新的 IOL（2 只巩膜缝合，1 只虹膜夹）。
8 只眼未手术观察，7 只眼功能性无晶状体（4 只通过接触镜矫正）。
平均最终最佳矫正视力为 0.6 LogMAR。
对于 IOL 脱位，有几种治疗选择，应考虑葡萄膜炎的严重程度、患者年龄和期望。
我们提出了一种实用的方法：在这个高风险群体中，手术通常可以避免。
