Lagstein Oded, Milante Rachel R, Mishra Kapil, Doyle Jefferson J
Assuta Medical Center and Maccabi Health Services, Tel-Aviv, Israel.
Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA.
Am J Ophthalmol Case Rep. 2022 Jan 30;25:101364. doi: 10.1016/j.ajoc.2022.101364. eCollection 2022 Mar.
To report a case of a young adult with dense bilateral accessory iris membranes (AIMs).
AIMs can influence vision by multiple mechanisms. We discuss clinical examination and imaging considerations that can help parse optical and refractive complications to better guide intervention discussions. We also describe our surgical approach and perioperative management to help minimize trauma to the eye and maximize favorable surgical outcomes in these cases.
This case highlights the excellent symptomatic, visual acuity and stereopsis gains that can be achieved following surgical intervention for this clinical entity, even in older patients.
报告一例患有双侧致密副虹膜膜（AIMs）的年轻成年人病例。
AIMs可通过多种机制影响视力。我们讨论了有助于分析光学和屈光并发症以更好地指导干预讨论的临床检查和影像学考虑因素。我们还描述了我们的手术方法和围手术期管理，以帮助尽量减少对眼睛的创伤，并在这些病例中最大限度地提高良好的手术效果。
该病例突出了即使对于老年患者，针对这一临床实体进行手术干预后也能取得显著的症状改善、视力提高和立体视锐度提高。
