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囊袋内半脱位后房型人工晶状体的经巩膜缝线固定术。

Transscleral suture fixation of a subluxated posterior chamber lens within the capsular bag.

作者信息

Oshika T

出版信息

J Cataract Refract Surg. 1997 Nov;23(9):1421-4. doi: 10.1016/s0886-3350(97)80127-7.

Abstract

A 48-year-old man with cataract had uncomplicated phacoemulsification and implantation of a posterior chamber intraocular lens (IOL) into the continuous capsulorhexis. Three years later, part of the capsular bag and a haptic subluxated into the anterior chamber. At the time of repositioning surgery, partial zonular dehiscence and iridocapsular synechias were found. The IOL was repositioned behind the iris; however, subluxation of the lens recurred 1 year later. The IOL and capsular bag were successfully sutured to the sclera by introducing a double-armed polypropylene suture through a limbal stab incision.

摘要

一名48岁患有白内障的男性接受了单纯超声乳化白内障吸除术,并将后房型人工晶状体(IOL)植入连续环形撕囊。三年后,部分囊袋和一个袢半脱位进入前房。在重新定位手术时,发现部分悬韧带断裂和虹膜囊膜粘连。人工晶状体被重新定位到虹膜后方;然而,晶状体半脱位在1年后复发。通过角膜缘穿刺切口引入双臂聚丙烯缝线,成功地将人工晶状体和囊袋缝合到巩膜上。

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