玻璃体腔脱位的后房型人工晶状体植入物的临床处理
Clinical management of posterior chamber intraocular lens implants dislocated in the vitreous cavity.
作者信息
Shakin E P, Carty J B
机构信息
Retina Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
Ophthalmic Surg Lasers. 1995 Nov-Dec;26(6):529-34.
BACKGROUND AND OBJECTIVE
To discuss the options for management and review the authors' experience with dislocated posterior chamber intraocular lens implants.
PATIENTS AND METHODS
A retrospective review was performed over a 3-year period of 12 consecutive patients with posterior chamber intraocular lens (PC IOL) implants dislocated into the vitreous cavity. The patients were managed with pars plana vitrectomy, repositioning or exchange, and transscleral suture fixation of the PC IOL.
RESULTS
The visual acuity was 20/50 or better in 9 patients and the transscleral suture fixated PC IOL was in good position in 12 patients at the most recent follow-up. Perioperative complications included corneal edema, cystoid macular edema, retinal breaks and detachments, and suture erosion.
CONCLUSION
Visual and anatomic outcomes were favorable.
背景与目的
探讨脱位的后房型人工晶状体植入物的处理方法，并回顾作者的相关经验。
患者与方法
对连续12例后房型人工晶状体（PC IOL）植入物脱位至玻璃体腔的患者进行了为期3年的回顾性研究。患者接受了玻璃体切除术、人工晶状体复位或置换以及PC IOL的巩膜外缝线固定术。
结果
在最近一次随访时，9例患者视力达到20/50或更好，12例患者的巩膜外缝线固定PC IOL位置良好。围手术期并发症包括角膜水肿、黄斑囊样水肿、视网膜裂孔和脱离以及缝线侵蚀。
结论
视力和解剖学结果良好。
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