Mishra Sanjay Kumar, Kumar Pradeep, Rana Vipin, Seth Sankalp, Kumar Ashok
Consultant & Head (Ophthalmology), Army Hospital (Research & Referral), Delhi Cantt, India.
Classified Specialist (Ophthalmology), Army Hospital (Research & Referral), Delhi Cantt, India.
Med J Armed Forces India. 2024 Sep-Oct;80(5):595-598. doi: 10.1016/j.mjafi.2022.09.013. Epub 2022 Nov 28.
Iris fixated intraocular lens (IOLs) have been used for Aphakia and capsular bag instability. The IOLs cause a postoperative non dilating pupil in most cases. We encountered such a case which presented with rhegmatogenous retinal detachment. We describe a novel technique of operating for retinal reattachment in such a case using iris hooks passing in the potential plane between the IOL optic and the iris. The technique had advantages of obviating the need for IOL explantation, associated large corneal entry wound, allowing silicone oil tamponade by retaining an IOL-iris diaphragm, early visual rehabilitation, reduced surgical time, and avoiding multiple surgeries.
虹膜固定型人工晶状体（IOL）已用于无晶状体眼和囊袋不稳定的情况。在大多数情况下，这些人工晶状体可导致术后瞳孔不散大。我们遇到了这样一例伴有孔源性视网膜脱离的病例。我们描述了一种在此类病例中使用虹膜钩在人工晶状体光学部和虹膜之间的潜在平面内通过来进行视网膜复位手术的新技术。该技术具有无需取出人工晶状体、避免相关的大角膜切口、通过保留人工晶状体 - 虹膜隔膜允许硅油填充、早期视力康复、缩短手术时间以及避免多次手术等优点。
