Lamprogiannis Lampros, Syam Padmanabha P, Patel Arsh, Syam Kaushal Pillai, Voyatzis George
Ophthalmology, Ophthalmica Institute, Thessaloniki, GRC.
Ophthalmology, Anglia Community Eye Services, Peterborough, GBR.
Cureus. 2024 Nov 30;16(11):e74807. doi: 10.7759/cureus.74807. eCollection 2024 Nov.
We report a case of spontaneous total iris avulsion that occurred during corneal wound hydration following an uneventful phacoemulsification procedure. An 86-year-old woman underwent cataract surgery on her right eye, during which a single-piece acrylic intraocular lens (Bausch and Lomb Akreos Adapt Advanced Optics, Bausch and Lomb Incorporated, Rochester, NY, USA) was implanted in the bag, and the viscoelastic material was removed. During corneal wound hydration, total iris avulsion was observed, with the iris prolapsing out of the anterior chamber through the main wound. Wound hydration was completed, and no additional surgical intervention was performed. Four months postoperatively, the patient achieved a best corrected visual acuity of 20/50. This case highlights the importance of recognizing the pressure dynamics during corneal wound hydration and the potential risk of complications.
我们报告一例在顺利完成超声乳化手术后角膜伤口水化过程中发生的自发性全虹膜撕脱病例。一名86岁女性接受了右眼白内障手术，术中在囊袋内植入了单片丙烯酸人工晶状体（美国纽约罗切斯特的博士伦公司生产的博士伦Akreos Adapt Advanced Optics），并移除了粘弹剂。在角膜伤口水化过程中，观察到全虹膜撕脱，虹膜通过主伤口脱出前房。伤口水化完成，未进行额外的手术干预。术后四个月，患者的最佳矫正视力达到20/50。该病例凸显了认识角膜伤口水化过程中压力动态变化以及并发症潜在风险的重要性。
