Rabinovitch David Ethan, Buhrmann Ralf, Varma Devesh K
Sackler School of Medicine, Tel Aviv University, 35 Klatzkin Street, Tel Aviv, Israel.
University of Ottawa Eye Institute, 501 Smyth Rd, Ottawa, Canada.
Am J Ophthalmol Case Rep. 2023 Aug 25;32:101921. doi: 10.1016/j.ajoc.2023.101921. eCollection 2023 Dec.
Iris pigment deficiency in patients with oculocutaneous albinism (OCA) often causes debilitating photophobia, which is routinely managed by sequential intracapsular insertion of two aniridia rings. A common concern of this technique is the risk of segment interdigitation, which can lead to intraoperative complications.
In this report, we describe a modified technique through which both rings were stacked together and inserted simultaneously in a 62-year-old male patient with oculocutaneous albinism and a mild cataract. The patient underwent bilateral phacoemulsification followed by implantation of two Morcher 50E aniridia rings simultaneously, prior to IOL implantation behind the implants within the capsular bag. Post-operatively, the patient's photophobia improved dramatically, and there were no post-operative complications.
Simultaneous insertion of two stacked aniridia rings prior to IOL implantation was a safe and successful alternative surgical method for the management of photophobia in patients with oculocutaneous albinism and cataracts.
眼皮肤白化病（OCA）患者的虹膜色素缺乏常导致使人衰弱的畏光，通常通过依次囊内插入两个无虹膜环来处理。该技术的一个常见问题是节段相互交错的风险，这可能导致术中并发症。
在本报告中，我们描述了一种改良技术，通过该技术将两个环堆叠在一起，并在一名62岁患有眼皮肤白化病和轻度白内障的男性患者中同时插入。患者接受了双侧超声乳化术，随后在囊袋内植入人工晶状体之前，同时植入两个莫尔彻50E无虹膜环。术后，患者的畏光症状显著改善，且无术后并发症。
在植入人工晶状体之前同时插入两个堆叠的无虹膜环，是治疗眼皮肤白化病和白内障患者畏光的一种安全且成功的替代手术方法。
