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假晶状体中的脱水收缩和玻璃体积血。

Syneresis and vitreous hemorrhage in pseudophacia.

作者信息

Wolter J R

出版信息

Graefes Arch Clin Exp Ophthalmol. 1983;220(5):223-8. doi: 10.1007/BF02308078.

DOI:10.1007/BF02308078
PMID:6354847
Abstract

The eye of a 60-year-old man with a clinically very successful lens implant became available for pathological study after a very sudden and uncomplicated death about 6 months following cataract surgery. The following changes were found: slight non-granulomatous uveitis associated with foreign-body reaction to the lens implant and its supporting iris suture, absence of the anterior vitreous face, advanced syneresis of the central vitreous, vitreous hemorrhage with diffuse layering of erythrocytes on the inner aspect of the remaining vitreous crust, vitreous traction on peripheral and central retina with tenting of foveal internal limiting membrane, and some foveal edema without cystoid changes and without foveolar detachment. Knowledge of all these changes is important, because they were compatible with good visual function and caused no clinical problems.

摘要

一名60岁男性在白内障手术后约6个月突然无并发症死亡,其临床晶状体植入非常成功,死后眼球可供病理研究。发现以下变化:轻度非肉芽肿性葡萄膜炎,伴有对晶状体植入物及其支撑虹膜缝线的异物反应;无前玻璃体表面;中央玻璃体高度液化;玻璃体出血,红细胞在剩余玻璃体膜内表面弥漫分层;玻璃体对周边和中央视网膜有牵引,黄斑内界膜呈帐篷状;有一些黄斑水肿,但无囊样改变和黄斑脱离。了解所有这些变化很重要,因为它们与良好的视觉功能相符且未引起临床问题。

相似文献

1
Syneresis and vitreous hemorrhage in pseudophacia.假晶状体中的脱水收缩和玻璃体积血。
Graefes Arch Clin Exp Ophthalmol. 1983;220(5):223-8. doi: 10.1007/BF02308078.
2
[Pathology of retinal involvement in pseudophakia].[人工晶状体眼视网膜受累的病理学]
Fortschr Ophthalmol. 1991;88(4):358-62.
3
Transscleral suture fixation of posterior-chamber lenses after cataract extraction associated with vitreous loss.白内障摘除术后伴有玻璃体丢失时后房型人工晶状体的经巩膜缝线固定术。
Ger J Ophthalmol. 1995 Mar;4(2):80-5.
4
Complications of cataract surgery.白内障手术的并发症。
Int Ophthalmol Clin. 1992 Fall;32(4):131-55. doi: 10.1097/00004397-199223000-00010.
5
Causes of decreased visual acuity after cataract extraction.
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6
Reactions to an anterior chamber lens--two years after implantation.前房人工晶状体植入两年后的反应。
Ophthalmic Surg. 1980 Nov;11(11):794-800.
7
A comparison of anterior chamber and posterior chamber intraocular lenses after vitreous presentation during cataract surgery: the Department of Veterans Affairs Cooperative Cataract Study.白内障手术中玻璃体出现后前房和后房型人工晶状体的比较:退伍军人事务部协作白内障研究
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8
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Pseudophakic retinal detachment.
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10
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本文引用的文献

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Pigment in cellular membranes on intraocular lens implants.人工晶状体植入物细胞膜中的色素。
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Leaky cystoid macular edema attracting vitreous macrophages.渗漏性黄斑囊样水肿吸引玻璃体巨噬细胞。
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8
Morphology of the capsule-like portion of the reactive membranes on intraocular lens implants.人工晶状体植入物上反应性膜的囊样部分的形态学
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The pathology of vitreous hemorrhage. I. Gross and histological appearances.
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