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急性人工晶状体混浊的病因、发病机制及处理:一项系统评价

Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review.

作者信息

Momenaei Bita, Akbari Mohammad Reza, Tabatabaei Seyed Ali, Soleimani Mohammad, Soleymanzadeh Mahdi, Fadakar Kaveh, Alshaheeb Ahmed, Khazari Mahtab Malekpour, Vaseghi Yasaman, Cheraqpour Kasra

机构信息

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 33445432, Iran.

School of Medicine, Tehran University of Medical Sciences, Tehran 1416753955, Iran.

出版信息

Int J Ophthalmol. 2022 Jul 18;15(7):1190-1197. doi: 10.18240/ijo.2022.07.21. eCollection 2022.

DOI:10.18240/ijo.2022.07.21
PMID:35919328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9318088/
Abstract

Millions of cataract surgeries with intraocular lens (IOL) implantation are performed worldwide. Although cataract surgery brings many benefits to the patients, the risk of various complications is still a concern. One of the infrequent adverse events but potentially affecting on patients' visual acuity and contrast sensitivity is losing the transparency of IOL. IOL opacification may lead to IOL removal or exchange, which is unpleasant to both the patient and the surgeon. Several reports of acute IOL clouding are available in the literature describing various etiologies of this phenomenon, however, the exact mechanism remained unclear in some cases. Herein, we aimed to review the causes and outcomes of intraoperative and early postoperative IOL opacification.

摘要

全球范围内进行了数百万例白内障手术并植入人工晶状体(IOL)。尽管白内障手术给患者带来了诸多益处,但各种并发症的风险仍是一个令人担忧的问题。人工晶状体透明度丧失是一种罕见但可能影响患者视力和对比敏感度的不良事件之一。人工晶状体混浊可能导致人工晶状体取出或更换,这对患者和外科医生来说都很不愉快。文献中有几篇关于急性人工晶状体混浊的报道,描述了这种现象的各种病因,然而,在某些情况下,确切机制仍不清楚。在此,我们旨在综述术中及术后早期人工晶状体混浊的原因及后果。

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Intraoperative and Postoperative Intraocular Lens Opacifications: Analysis of 42545 Cases.术中及术后人工晶状体混浊:42545例病例分析。
J Ophthalmol. 2021 Dec 6;2021:1285947. doi: 10.1155/2021/1285947. eCollection 2021.
2
Time Course of Acute Reversible Clouding of the Hydrophilic Intraocular Lens.亲水性人工晶状体急性可逆性混浊的时间进程。
Ophthalmology. 2021 Sep;128(9):1311. doi: 10.1016/j.ophtha.2021.02.011.
3
Transient Clouding of a Sutureless Scleral Fixated Hydrophilic Intraocular Lens with Spontaneous Resolution: A Case Report and in vitro Experimental Test.无缝线巩膜固定亲水性人工晶状体的短暂性混浊并自发消退:一例报告及体外实验测试
Case Rep Ophthalmol. 2021 Apr 12;12(1):169-173. doi: 10.1159/000510930. eCollection 2021 Jan-Apr.
4
Quantitative evaluation of microvacuole formation in five intraocular lens models made of different hydrophobic materials.定量评估五种不同疏水材料制成的人工晶状体模型中的微囊泡形成。
PLoS One. 2021 Apr 30;16(4):e0250860. doi: 10.1371/journal.pone.0250860. eCollection 2021.
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In-vitro glistening formation in six different foldable hydrophobic intraocular lenses.六种不同折叠式疏水型人工晶状体的体外起霜现象。
BMC Ophthalmol. 2021 Mar 8;21(1):126. doi: 10.1186/s12886-021-01879-6.
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