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有晶状体眼人工晶状体植入术后黄斑裂孔:一例报告。

Macular hole following phakic intraocular lens implantation: A case report.

作者信息

Li Xue-Jing, Duan Jia-Liang, Ma Jing-Xue, Shang Qing-Li

机构信息

Department of Ophthalmology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China.

出版信息

World J Clin Cases. 2022 Jul 16;10(20):7178-7183. doi: 10.12998/wjcc.v10.i20.7178.

DOI:10.12998/wjcc.v10.i20.7178
PMID:36051152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9297414/
Abstract

BACKGROUND

Phakic intraocular lens (pIOL) implantation has been commonly prescribed and is considered as a safe and effective option for correcting high myopia. However, it is associated with multiple complications.

CASE SUMMARY

This report describes a case of full-thickness macular hole (MH) in a patient with a history of bilateral pIOL implantation for the correction of myopia of -12.00 diopters in both eyes 7 mo ago. The MH closed after pars plana vitrectomy with internal limiting membrane removal and the best-corrected visual acuity improved to 20/40 in the left eye.

CONCLUSION

In rare cases, MH can occur following pIOL. In this present case report, we analyzed the formation process of MH following the surgery and emphasized that it is important to inform highly myopic patients about the risk of MH occurrence while being aware of the symptoms of this complication.

摘要

背景

有晶状体眼人工晶状体(pIOL)植入术已被广泛应用,被认为是矫正高度近视的一种安全有效的选择。然而,它会引发多种并发症。

病例摘要

本报告描述了一例患有双侧pIOL植入术病史的患者出现全层黄斑裂孔(MH)的情况,该患者于7个月前接受双眼-12.00屈光度近视矫正的pIOL植入术。在进行了玻璃体切割联合内界膜剥除术后黄斑裂孔闭合,左眼最佳矫正视力提高到了20/40。

结论

在罕见情况下,pIOL植入术后可能会发生黄斑裂孔。在本病例报告中,我们分析了手术后黄斑裂孔形成的过程,并强调告知高度近视患者黄斑裂孔发生风险并让其了解该并发症症状的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/d62fed70c8bb/WJCC-10-7178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/83ebd0a68eff/WJCC-10-7178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/b619365812b3/WJCC-10-7178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/d62fed70c8bb/WJCC-10-7178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/83ebd0a68eff/WJCC-10-7178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/b619365812b3/WJCC-10-7178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5b7/9297414/d62fed70c8bb/WJCC-10-7178-g003.jpg

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本文引用的文献

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J Immunol Res. 2021 Jan 25;2021:6628224. doi: 10.1155/2021/6628224. eCollection 2021.
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Posterior Vitreous Detachment in Highly Myopic Patients.高度近视患者的玻璃体后脱离。
Invest Ophthalmol Vis Sci. 2020 Apr 9;61(4):33. doi: 10.1167/iovs.61.4.33.
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Macular hole following phakic intraocular lens implantation and its management.后房型有晶状体眼人工晶状体植入术后黄斑裂孔及其处理。
Indian J Ophthalmol. 2019 Oct;67(10):1758-1760. doi: 10.4103/ijo.IJO_126_19.
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Posterior vitreous mobility delineated by tracking of optical coherence tomography images in eyes with idiopathic macular holes.通过追踪光学相干断层扫描图像描绘特发性黄斑裂孔眼的玻璃体后运动。
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Semin Ophthalmol. 2014 Jul;29(4):213-7. doi: 10.3109/08820538.2013.835839. Epub 2013 Oct 30.
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Observation of posterior precortical vitreous pocket using swept-source optical coherence tomography.应用扫频源光学相干断层扫描观察后皮质前玻璃体袋。
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Choroidal thickness in both eyes of patients with unilateral idiopathic macular hole.患者单侧特发性黄斑裂孔双眼脉络膜厚度。
Ophthalmology. 2012 Nov;119(11):2328-33. doi: 10.1016/j.ophtha.2012.06.008. Epub 2012 Aug 11.
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Retinal detachment after phakic intraocular lens implantation in severe myopic eyes.高度近视眼行有晶状体眼人工晶状体植入术后视网膜脱离。
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