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可植入 Collamer 透镜眼的瞳孔不等大和高拱的处理。

Management of anisocoria and high vault in an eye with implantable collamer lens.

机构信息

Department of Cornea and Refractive Surgery, Anand Eye Institute, Hyderabad, Telangana, India.

Department of Glaucoma, Anand Eye Institute, Hyderabad, Telangana, India.

出版信息

Indian J Ophthalmol. 2020 Dec;68(12):3070-3072. doi: 10.4103/ijo.IJO_3030_20.

DOI:10.4103/ijo.IJO_3030_20
PMID:33229710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7856946/
Abstract

A young lady presented with very high vault and fixed dilated pupil along with optic capture of the implantable collamer lens (ICL). After thorough evaluation and ruling out the ICL sizing error, the optic capture was relieved and the ICL was rotated into vertical position. Single-pass four throw pupilloplasty was performed for the fixed dilated pupil. Postoperatively the ICL vault and the pupil size decreased and patient was asymptomatic. This case highlights a successful outcome of rotation of a nontoric ICL to reduce the high vaulting and optic capture along with single-pass four throw pupilloplasty.

摘要

一位年轻女士出现极高的拱顶和固定性扩大瞳孔,同时伴有可植入Collamer 透镜(ICL)的光学捕获。经过彻底评估并排除 ICL 尺寸错误后,解除了光学捕获,并将 ICL 旋转至垂直位置。对固定性扩大瞳孔进行单次四投瞳孔成形术。术后 ICL 拱顶和瞳孔大小减小,患者无症状。本病例突出了旋转非 toric ICL 以降低高拱顶和光学捕获的成功结果,同时还进行了单次四投瞳孔成形术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/37a23f846116/IJO-68-3070-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/767eec62e695/IJO-68-3070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/59e6885a8c25/IJO-68-3070-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/ad533d485935/IJO-68-3070-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/37a23f846116/IJO-68-3070-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/767eec62e695/IJO-68-3070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/59e6885a8c25/IJO-68-3070-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/ad533d485935/IJO-68-3070-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e743/7856946/37a23f846116/IJO-68-3070-g004.jpg

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Int Ophthalmol. 2018 Dec;38(6):2689-2692. doi: 10.1007/s10792-017-0757-2. Epub 2017 Nov 1.
2
Single-pass four-throw technique for pupilloplasty.瞳孔成形术的单次四针技术
Eur J Ophthalmol. 2017 Jun 26;27(4):506-508. doi: 10.5301/ejo.5000922. Epub 2016 Dec 22.
3
Urrets-Zavalia syndrome (fixed and dilated pupil following penetrating keratoplasty for keratoconus) and its variants.
七种可植入式角膜胶原交联晶状体植入术的前房深度预测公式准确性比较
Ophthalmol Ther. 2024 Jan;13(1):237-249. doi: 10.1007/s40123-023-00844-4. Epub 2023 Nov 9.
4
Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation.分析与眼内可植入 Collamer 透镜(ICL)植入相关的围手术期问题。
Int Ophthalmol. 2022 Nov;42(11):3625-3641. doi: 10.1007/s10792-022-02355-w. Epub 2022 Jun 22.
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Outcomes of the EVO ICL Using a Customized Non-horizontal or Horizontal Implanting Orientation Based on UBM Measurement: A Pilot Study.基于UBM测量采用定制非水平或水平植入方向的EVO ICL手术效果:一项初步研究。
Ophthalmol Ther. 2022 Jun;11(3):1187-1198. doi: 10.1007/s40123-022-00498-8. Epub 2022 Apr 12.
Urrets-Zavalia 综合征(圆锥角膜行穿透性角膜移植术后固定性和扩张性瞳孔)及其变异型。
Surv Ophthalmol. 2014 May-Jun;59(3):304-10. doi: 10.1016/j.survophthal.2013.12.002. Epub 2014 Jan 2.
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Cluster of Urrets-Zavalia syndrome: a sequel of toxic anterior segment syndrome.Urrets-Zavalia 综合征综合征群:前节毒性综合征的后遗症。
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