Solmaz Nilgun, Oba Turker, Onder Feyza
Department of Ophthalmology, Health Sciences University, Haseki Training and Research Hospital, Istanbul, Türkiye.
Department of Ophthalmology, Karaman Training and Research Hospital, Karaman, Türkiye.
Beyoglu Eye J. 2023 May 1;8(2):123-127. doi: 10.14744/bej.2023.57625. eCollection 2023.
We present the long-term results of the implantation of a capsular tension ring (CTR) and Ahmed capsular tension segments (CTS) together for the management of mikrospherophakia in a 35-year-old female patient. The patient had uncontrolled secondary angle-closure glaucoma, despite previous laser peripheral iridotomy, and visual impairment due to lenticular myopia. Clear lens extraction was performed under general anesthesia. The capsular bag was stabilized with a classical CTR and two Ahmed CTSs sutured to the sclera. A single-piece hydrophobic acrylic intraocular lens (32.0 D for the right and 30.0 D for the left eye) was implanted in the capsular bag. The anterior chamber depth was stable, and intraocular pressure (IOP) was 10-12 mmHg in both eyes in the early post-operative period. The bag complex gradually moved forward, IOP gradually increased, and the left eye underwent trabeculectomy surgery in the 4 year of follow-up.
我们展示了一名35岁女性患者联合植入囊袋张力环（CTR）和艾哈迈德囊袋张力节段（CTS）治疗小眼球症的长期结果。尽管之前进行了激光周边虹膜切开术，但该患者仍患有无法控制的继发性闭角型青光眼，并且因晶状体近视导致视力受损。在全身麻醉下进行了透明晶状体摘除术。用经典的CTR稳定囊袋，并将两个艾哈迈德CTS缝合到巩膜上。将一片式疏水丙烯酸人工晶状体（右眼32.0 D，左眼30.0 D）植入囊袋。术后早期前房深度稳定，双眼眼压（IOP）为10 - 12 mmHg。囊袋复合体逐渐向前移动，IOP逐渐升高，随访4年时左眼接受了小梁切除术。
