Petrou Petros, Doumazos Spyridon, Kandarakis Stylianos A, Barlampa Aikaterini, Ntikos Stergios, Okoutsidou Eirini, Karageorgiou Georgia, Georgalas Ilias
First Department of Ophthalmology, National and Kapodistrian University of Athens, "G. Gennimatas" General Hospital of Athens, Greece.
Am J Ophthalmol Case Rep. 2025 Jul 23;39:102391. doi: 10.1016/j.ajoc.2025.102391. eCollection 2025 Sep.
To present a case of lens dislocation in which an Extended Depth of Focus (EDOF) scleral fixated (Carlevale) intraocular lens (IOL) was inserted after performing pars plana vitrectomy (PPV) and lens fragmentation.
A 68-year-old woman presented to our department with loss of vision in her right eye after a blunt trauma in the right eye. After clinical examination the patient was aphakic with a dropped nucleus in the vitreous cavity. Surgical plan involved PPV with lens fragmentation and insertion of an IOL. Due to patient circumstances, she requested spectacle independence as far as possible. In order to support her needs a custom made Carlevale EDOF scleral fixated IOL (FIL SSF EVOLVE) was successfully implanted in her right eye with excellent post operative results. Excellent distant visual acuity as well as good intermediate and near vision was achieved 3 months post-operative in our patient.
According to previous reports as well as from our own previous experience, achieving efficient scleral fixation using the Carlevale FIL SSF IOL seems like a promising option in cases of aphakia or zonular dehiscence. EDOF lens technology is widely used in routine cataract surgery for demanding patients who require a wider range of vision without glasses. Combining these two technologies lead to a lens design (Carlevale FIL SSF EVOLVE) that we used in this case and enabled us to help our patient and improve her quality of life.
介绍一例晶状体脱位病例，该病例在进行了经平坦部玻璃体切除术（PPV）和晶状体破碎后，植入了一枚扩展景深（EDOF）巩膜固定（卡莱瓦尔）人工晶状体（IOL）。
一名68岁女性因右眼钝挫伤后视力丧失前来我院就诊。临床检查后发现该患者无晶状体，玻璃体腔内有晶状体核下沉。手术方案包括PPV联合晶状体破碎及植入一枚IOL。鉴于患者情况，她要求尽可能摆脱眼镜。为满足其需求，一枚定制的卡莱瓦尔EDOF巩膜固定IOL（FIL SSF EVOLVE）成功植入其右眼，术后效果极佳。术后3个月，患者获得了出色的远视力以及良好的中视力和近视力。
根据既往报道以及我们自身的经验，在无晶状体或晶状体悬韧带断裂的病例中，使用卡莱瓦尔FIL SSF IOL实现有效的巩膜固定似乎是一个有前景的选择。EDOF晶状体技术广泛应用于常规白内障手术，适用于那些需要更广泛视力范围且不依赖眼镜的高要求患者。将这两种技术结合，产生了我们在本病例中使用的一种晶状体设计（卡莱瓦尔FIL SSF EVOLVE），使我们能够帮助患者并改善其生活质量。
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