Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Ophthalmol. 2023 Oct;71(10):3412-3414. doi: 10.4103/IJO.IJO_1061_23.
We describe a technique of scleral IOL fixation and optic centration of in the capsular bag subluxated IOL in a patient of "dead bag syndrome." A 29-year-old male diagnosed case of thalassemia presented with painless progressive diminution of vision in the left eye following uncomplicated sequential phacoemulsification in both eyes 15 years back. The right eye revealed completely centered IOL with significant amount of anterior capsular opacification (ACO), while the left eye revealed inferior subluxation of the IOL within capsular bag. The capsular bag was dilated, diaphanous with clear anterior and posterior capsule without any evidence of capsular fibrosis or opacification. Thus, a diagnosis of "dead bag syndrome" was made. The haptics were sutured to sclera (Hoffman's pockets) using two loops of 9-0 polypropylene, passed anterior and posterior to IOL haptics within the capsular bag. Postoperatively, the patient had a vision of 20/40 with a centered intraocular lens.
我们描述了一种在“袋状纤维变性综合征”患者的囊袋半脱位人工晶状体中进行巩膜人工晶状体固定和光学中心定位的技术。一名 29 岁男性地中海贫血症患者，15 年前双眼行常规顺序性超声乳化白内障吸除术后出现无痛性左眼进行性视力下降。右眼显示完全居中的人工晶状体，伴有大量前囊混浊（ACO），而左眼显示人工晶状体在囊袋内下侧半脱位。囊袋扩张，透明，前后囊清晰，无囊膜纤维化或混浊的证据。因此，诊断为“袋状纤维变性综合征”。将双 9-0 聚丙烯缝线的两个环穿过人工晶状体襻的前后，将襻固定在巩膜（霍夫曼袋）上。术后，患者视力为 20/40，人工晶状体居中。
