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心肺复苏术后因襻断裂导致的人工晶状体晚期脱位

Late Intraocular Lens Dislocation Resulting From Haptic Breakage Following Cardiopulmonary Resuscitation.

作者信息

Prabakaran Samantha, Moureiden Mouwafak, Qureshi Saima, Sharma Aman, Tran Trisha, Shaikh Saad

机构信息

Ophthalmology, University of Central Florida College of Medicine, Orlando, USA.

College of Medicine, University of Central Florida, Orlando, USA.

出版信息

Cureus. 2020 Sep 14;12(9):e10456. doi: 10.7759/cureus.10456.

Abstract

We report a case of an asymptomatic 65-year-old male who on routine eye examination had anterior dislocation of an intraocular lens (IOL) implant placed 23 years prior. Ten months prior to presentation, the patient had cardiac surgery complicated by cardiac arrest requiring chest compressions. Dislocation of an intraocular lens is a rare complication of cataract surgery. One of the causative factors for haptic breakage in our case was the polyimide haptic material. Polyimide has been shown to become brittle over time in warm and moist environments such as the human eye. This case demonstrates a case of late IOL dislocation chest compressions and, to the best of our knowledge, the first such case reported in the literature.

摘要

我们报告一例65岁无症状男性病例,该患者在常规眼部检查时发现23年前植入的人工晶状体(IOL)发生了前脱位。在就诊前十个月,该患者接受了心脏手术,术后并发心脏骤停,需要进行胸外按压。人工晶状体脱位是白内障手术的一种罕见并发症。我们病例中导致袢断裂的原因之一是聚酰亚胺袢材料。聚酰亚胺已被证明在温暖潮湿的环境(如人眼)中会随着时间推移而变脆。该病例展示了一例因胸外按压导致人工晶状体晚期脱位的情况,据我们所知,这是文献中报道的首例此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0496/7557322/ca0a4c0c4494/cureus-0012-00000010456-i01.jpg

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