外伤性人工晶状体囊袋复合脱位的治疗

C. Roșca
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引用次数: 0

摘要

一名五十七岁男性病患因白内障手术五年,因左眼视力突然下降而来急诊科就诊。裂隙灯检查显示无晶状体、虹膜状瞳孔和无反射的半散瞳。眼底Volk®晶状体检查显示整个袋状人工晶状体脱位进入玻璃体。我们的方法是:后路玻璃体切割,人工晶状体-囊袋复合物提取,虹膜-爪形人工晶状体植入术,解剖和功能效果良好。虹膜-爪形人工晶状体在作者看来是一种治疗任何原因的先天性白内障的好方法。
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Retro Pupillary Iris-Claw IOL the Treatment for Traumatic IOL Capsular Bag Complex Dislocation
A 57-year-old male patient operated 5 years before for cataract, arrives in our emergency service complaining of sudden decrease of the visual acuity of the left eye. Slit lamp examination reveals aphakia, iridodonesis and nonreflective semi-mydriatic pupil. Volk ® lens examination of the fundus shows dislocation of the entire bag-IOL complex into the vitreous. Our approach was: pars plana posterior vitrectomy, IOL-capsular bag complex extraction and implantation of an iris-claw artificial IOL with good anatomical and functional results. Iris-Claw artificial IOL’s are in the authors’ opinion a good and less invasive method for treating afakia of any cause.
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