Ohmi S, Takagishi C, Hashizume N, Saika S
Department of Ophthalmology, Wakayama Medical College, Japan.
J Cataract Refract Surg. 1996 Jul-Aug;22(6):755-8. doi: 10.1016/s0886-3350(96)80317-8.
In-the-bag hyphema, the collection of blood in the endocapsular space between the posterior capsule and the intraocular lens (IOL), is a rare postoperative complication of IOL implantation in the capsular bag. We report three cases. In Case 1, the hyphema did not obscure the visual axis and thus no treatment was given; the hyphema reabsorbed spontaneously within 3 months Case 2 was successfully treated with a neodymium:YAG (Nd:YAG) laser capsulotomy. Although a fibrin membrane on the IOL's anterior surface in Case 3 made it difficult, an Nd:YAG capsulotomy was performed followed by subsequent YAG laser dissection of the fibrin membrane. We believe that for improved simplicity, safety, and efficacy in such a case, membrane dissection should be done at the time of the capsulotomy.
囊袋内前房积血是指在后囊膜与人工晶状体（IOL）之间的囊内间隙中积血，是IOL植入囊袋内术后一种罕见的并发症。我们报告3例。病例1中，前房积血未遮挡视轴，因此未进行治疗；前房积血在3个月内自行吸收。病例2通过钕：钇铝石榴石（Nd：YAG）激光晶状体囊切开术成功治疗。尽管病例3中IOL前表面的纤维蛋白膜给治疗带来困难，但还是进行了Nd：YAG晶状体囊切开术，随后用YAG激光分离纤维蛋白膜。我们认为，为了在这种情况下提高操作的简易性、安全性和有效性，应在晶状体囊切开术时进行膜分离。
