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与Mark VIII前房型人工晶状体相关的葡萄膜炎-青光眼-前房积血综合征

The uveitis-glaucoma-hyphema syndrome associated with the Mark VIII anterior chamber lens implant.

作者信息

Ellingson F T

出版信息

J Am Intraocul Implant Soc. 1978 Apr;4(2):50-3. doi: 10.1016/s0146-2776(78)80054-8.

DOI:10.1016/s0146-2776(78)80054-8
PMID:701165
Abstract

An update on the percentage of my patients showing the UGH syndrome associated with the Mark VIII anterior chamber lens implant as manufactured by Surgidev is given. Of seven patients having the syndrome sufficiently severe to warrant removal of the offending lens, six have now been reimplanted, two each with Rayner, IOLAB, and PC lenses. Whereas, other physicians have observed a similar UGH syndrome associated with iris chafing and erosions, this process was not particularly apparent in my cases involving the Surgidev lens. As for the chafing phenomenon, one could logically assume that it could be in large part eliminated by significantly increasing the curvature of the lens and simply vault the iris to a greater degree than is obtainable with lenses currently on the market. Perhaps too much emphasis has been placed on avoiding the endothelium and not enough emphasis on avoiding the iris.

摘要

本文给出了使用Surgidev公司生产的Mark VIII前房型人工晶状体的患者中出现UGH综合征的比例的最新情况。在7例病情严重到需要取出有问题晶状体的患者中,6例现已重新植入人工晶状体,分别植入了2枚Rayner、IOLAB和PC晶状体。其他医生也曾观察到与虹膜擦伤和糜烂相关的类似UGH综合征,但在我使用Surgidev晶状体的病例中,这一过程并不特别明显。至于擦伤现象,从逻辑上可以推断,通过大幅增加晶状体的曲率,使其比目前市场上的晶状体更能抬高虹膜,在很大程度上可以消除这种现象。也许过去过于强调避免损伤内皮,而对避免损伤虹膜的重视不够。

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