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病例报告:后房型有晶状体眼人工晶状体脱位至玻璃体腔并取出

Case Report: Dislocation Into Vitreous Cavity and Removal of a Posterior Chamber Phakic Intraocular Lens.

作者信息

He Jingliang, Zhang Li, Zheng Fang, Fang Xiaoyun

机构信息

Eye Center, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Front Med (Lausanne). 2022 Jan 28;8:792253. doi: 10.3389/fmed.2021.792253. eCollection 2021.

DOI:10.3389/fmed.2021.792253
PMID:35155472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8832095/
Abstract

PURPOSE

To report a rare case of delayed dislocation of a novel posterior chamber phakic intraocular lens into the vitreous cavity, which was successfully treated by a reformed technique.

CASE PRESENTATION

A 29-year-old female received Ejinn phakic refractory lens (EPRL) implantation to correct her high myopia. Spontaneous dislocation into the vitreous cavity occurred 26-months post-operatively without traumatic history. Pars plana vitrectomy combined with cutting the EPRL into two equal pieces was performed to remove the dislocated EPRL.

CONCLUSION

Dislocation into the vitreous cavity of EPRL can be successfully and easily removed by our reformed technique. Concerns about zonules-related complications pre-operatively, intraoperatively, and post-operatively must be raised in the practice of EPRL implantation.

摘要

目的

报告一例罕见的新型后房型有晶状体眼人工晶状体延迟性脱位至玻璃体腔的病例,该病例通过改良技术成功治疗。

病例介绍

一名29岁女性接受了Ejinn有晶状体眼屈光性晶状体(EPRL)植入术以矫正高度近视。术后26个月,在无外伤史的情况下,人工晶状体自发脱位至玻璃体腔。行玻璃体平坦部玻璃体切除术并将EPRL切成相等的两片以取出脱位的EPRL。

结论

通过我们的改良技术可以成功且轻松地取出脱位至玻璃体腔的EPRL。在EPRL植入手术的术前、术中及术后,必须关注与悬韧带相关的并发症。

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Curr Opin Ophthalmol. 2021 Jan;32(1):25-30. doi: 10.1097/ICU.0000000000000716.
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