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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.

DOI:10.1016/s0002-9394(14)70181-3
PMID:9124252
Abstract

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.

摘要

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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Am J Ophthalmol. 1997 Apr;123(4):546-7. doi: 10.1016/s0002-9394(14)70181-3.
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Five-Year-Old Sequestered Retained Lens Fragment Requiring Keratoplasty.五岁患儿的隐匿性晶状体残留碎片需行角膜移植术。
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Medical malpractice claims related to cataract surgery complicated by retained lens fragments (an American Ophthalmological Society thesis).
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A retained lens fragment induced anterior uveitis and corneal edema 15 years after cataract surgery.一枚残留晶状体碎片在白内障手术后15年引发了前葡萄膜炎和角膜水肿。
Korean J Ophthalmol. 2011 Feb;25(1):60-2. doi: 10.3341/kjo.2011.25.1.60. Epub 2011 Jan 17.
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Retained lens fragment in the anterior segment as a cause of recurrent anterioruveitis.
Int Ophthalmol. 2010 Feb;30(1):89-91. doi: 10.1007/s10792-008-9279-2. Epub 2008 Nov 20.