白内障超声乳化吸除联合后房型人工晶状体植入术后前房内残留核碎片的并发症。
Complications of retained nuclear fragments in the anterior chamber after phacoemulsification with posterior chamber lens implant.
作者信息
Bohigian G M, Wexler S A
机构信息
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, MO, USA.
出版信息
Am J Ophthalmol. 1997 Apr;123(4):546-7. doi: 10.1016/s0002-9394(14)70181-3.
PURPOSE
We report two cases in which retained nuclear fragments in the anterior chamber after phacoemulsification and posterior chamber lens implant resulted in intraocular complications.
METHODS
Case reports.
RESULTS
In two eyes of two patients, retained nuclear fragments resulted in minimal anterior chamber reaction but substantial corneal edema and reduced visual acuity. Topical anti-inflammatory medications did not alter the postoperative course. Improvement occurred only when the nuclear fragments were surgically removed.
CONCLUSIONS
Retained nuclear fragments in the anterior chamber can cause corneal edema and reduced vision that may be reversed by removing the fragments.
目的
我们报告两例白内障超声乳化吸除及后房型人工晶状体植入术后前房内残留核碎片导致眼内并发症的病例。
方法
病例报告。
结果
在两名患者的两只眼中，残留的核碎片导致前房反应轻微，但角膜明显水肿且视力下降。局部抗炎药物并未改变术后病程。只有通过手术取出核碎片后情况才有所改善。
结论
前房内残留核碎片可导致角膜水肿和视力下降，取出碎片后症状可能会得到缓解。
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