Ní Dhubhghaill Sorcha, Janssen Caroline, Dragnea Diana Carmen, Van Os Luc, Rozema Jos, Werner Liliana, Van Dyck Dirk, Tassignon Marie-José
Antwerp University Hospital, Edegem, Belgium.
Faculty of Health Sciences, University of Antwerp, Belgium.
Am J Ophthalmol Case Rep. 2022 Aug 27;28:101693. doi: 10.1016/j.ajoc.2022.101693. eCollection 2022 Dec.
To report secondary opacification of a hydrophilic bag-in-the-lens (BIL) which is a rare manifestation that can happen years after initial surgery.
We describe a case of a prominent wave-like, rippled opacification on the posterior surface of the BIL. The opacification was composed of calcium deposits and seems to start in the periphery as a ring and progresses to the centre of the posterior surface. Due to the specific design of the BIL, there is direct contact between the BIL and the posterior chamber, both with the space of Berger, and the anterior hyaloid, particularly in this very hyperopic eye. Conclusions and importance: Abnormal fluid flow and stagnation in an unusual retrolenticular space is a possible explanation for this unusual pattern of posterior surface opacification.
报告亲水性晶状体囊袋内植入物（BIL）的继发性混浊，这是一种罕见的表现，可在初次手术后数年出现。
我们描述了一例BIL后表面出现明显的波浪状、涟漪状混浊的病例。混浊由钙沉积组成，似乎从周边开始呈环状，然后向后表面中心发展。由于BIL的特殊设计，BIL与后房直接接触，包括与伯杰间隙和前玻璃体膜，特别是在这只高度远视眼中。结论及重要性：在不寻常的晶状体后间隙中异常的液流和停滞可能是后表面混浊这种不寻常模式的一个解释。
