Mandal Sohini, Singhal Deepali, Saluja Gunjan, Nagpal Ritu, Tripathy Koushik, Tripathi Manasi, Sharma Namrata, Maharana Prafulla K
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Centre for Sight Eye Hospital, Bhubaneswar, Odisha, India.
Saudi J Ophthalmol. 2024 Jan 6;38(3):226-234. doi: 10.4103/sjopt.sjopt_172_23. eCollection 2024 Jul-Sep.
The medical management of ectopia lentis involves refractive correction as well as co-management of any associated systemic disease. Surgical management remains a challenge, as inherent defects in the lens capsule make implantation of an intraocular lens (IOL) difficult. Multiple visual rehabilitative measures are available such as aphakic contact lenses or spectacles, capsular bag fixation with implantation of in-the-bag IOL, iris-fixated, and scleral-fixated IOL. It depends on the surgeon's expertise and discretion whether the capsular bag needs to be preserved or compromised.
晶状体异位的医学管理包括屈光矫正以及对任何相关全身性疾病的联合管理。手术管理仍然是一项挑战，因为晶状体囊膜的固有缺陷使得人工晶状体（IOL）植入困难。有多种视觉康复措施可供选择，如无晶状体隐形眼镜或眼镜、囊袋内植入IOL的囊袋固定、虹膜固定和巩膜固定IOL。是否保留或破坏囊袋取决于外科医生的专业知识和判断。
