Mahmood Abdulhameed Hashim, Aljodaie Mohammed Khalid, Alsaati Anoud Faisal
Prince Sultan Military Medical City, PO Box 7897, Riyadh, 11159, Saudi Arabia.
Salmaniya Medical Complex, PO Box 12, Manama, Bahrain.
Am J Ophthalmol Case Rep. 2021 Jan 8;21:101000. doi: 10.1016/j.ajoc.2020.101000. eCollection 2021 Mar.
To report a rare case of severe capsular phimosis after toric trifocal intraocular lens implantation, in a patient who was already on systemic immunosuppression and to present a modified fixation technique, based on the four-flanged prolene technique, which could be adapted for fixation of intraocular lenses of the double-C-loop design.
A 33 year old gentleman, who underwent uneventful, sequential, bilateral phacoemulsification with implantation of toric trifocal intraocular lenses, presented 6 weeks post-operatively, with severe capsular phimosis, causing decentration of the IOL and deformation of the haptics in both eyes. The left eye was successfully managed by Nd-YAG laser anterior capsulotomy, while the right eye required surgical intervention.
In the present case report, we describe a novel technique to successfully reposition and realign a decentered toric trifocal intraocular lens of the double C-loop haptic design, after severe capsule phimosis.
报告1例在已接受全身免疫抑制治疗的患者中，植入散光三焦点人工晶状体后发生严重囊膜缩窄的罕见病例，并介绍一种基于四翼普理灵技术的改良固定技术，该技术可适用于双C袢设计人工晶状体的固定。
一名33岁男性患者，顺利接受了双侧连续白内障超声乳化吸除联合散光三焦点人工晶状体植入术，术后6周出现严重囊膜缩窄，导致双眼人工晶状体偏心和袢变形。左眼通过Nd-YAG激光前囊切开术成功处理，而右眼需要手术干预。
在本病例报告中，我们描述了一种新技术，可在严重囊膜缩窄后成功重新定位和重新对齐双C袢触觉设计的偏心散光三焦点人工晶状体。
