晚期自发后囊破裂与单片式疏水性烯酸眼内镜片脱位
Soomin Lee1, Gahye Lee1, Choul Yong Park2
1Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, Goyang, 410-773, Gyunggido, South Korea.
Scientific reports
|February 9, 2024
概括
晚期自发后囊破裂和眼内透镜 (IOL) 脱位可能发生在白内障手术多年后. 这种并发症可能与眼部摩擦或IOL设计有关,需要进一步调查以预防.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 眼内镜片 眼内镜片 眼内镜片
背景情况:
- 与眼内透镜 (IOL) 植入的白内障手术是常见的.
- 晚期并发症虽然很少见,但可以显著影响视觉结果.
- 后囊破裂 (PCR) 和IOL脱位是严重的不良事件.
研究的目的:
- 描述和讨论晚期发生的自发后破裂 (PCR) 和眼内镜片 (IOL) 脱位.
- 在患有疏水性烯酸IOL的患者中调查潜在的促成因素.
- 报告手术管理和视觉结果.
主要方法:
- 八名患者的回顾性病例系列呈现晚期PCR和IOL脱位.
- 对外科病史,患者报告的习惯 (例如,眼睛摩擦) 和临床表现的审查.
- 手术干预包括内腔镜切除和二次内腔镜植入 (或膜固定).
主要成果:
- 8名患者经历了PCR和IOL脱位5-20年白内障手术后.
- 四名患者报告习惯性眼;没有人曾经进行过后部囊切除.
- 所有患者都接受了二次IOL植入,视力敏度得到改善.
结论:
- 晚期自发PCR和IOL脱位可能发生在无事件的白内障手术多年后.
- 习惯性眼和内腔镜设计是潜在的促成因素.
- 需要进一步的研究来阐明确切的机制,并制定预防策略.
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