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晚期反向瞳孔阻塞在用雅曼技巧进行膜固定后:一个案例报告

Maria J Chaves-Samaniego^1,2, Gunjan Awatramani², Nazimul Hussain¹

¹Ophthalmology Department, Mediclinic Parkview Hospital, Dubai, UAE.

Case reports in ophthalmological medicine

|December 31, 2025

概括

雅曼技术的晚期并发症,无内眼镜 (IOL) 固定,可以包括反向瞳孔阻塞和反复的IOL外置. 谨慎的手术技术和患者选择对于最小化风险至关重要.

科学领域:

眼科医生眼科眼科
手术技巧手术技巧
眼内镜片眼内镜片眼内镜片

背景情况:

雅曼技术为缺少囊支的眼睛提供眼内透镜 (IOL) 的无硬膜固定.
虽然通常是安全有效的,但罕见的晚期并发症,如IOL外置已经被记录.

研究的目的:

描述一个罕见的晚期出现的反向瞳孔阻塞和在Yamane固定后复发的IOL外置病例.
确定潜在的促成因素,并强调预防措施.

主要方法:

一个临床案例的介绍,涉及一个64岁的男性,他接受了Yamane IOL固定.
手术干预的详细信息,包括帕斯普拉纳玻璃切除术和IOL重新定位.
对手术内发现和长期随访的分析.

主要成果:

患者在Yamane固定五年后出现了囊性黄斑,黄斑孔和虹膜捕获与瞳孔阻塞.
发生了多次IOL外置,需要重复重新定位和激光 iridotomy.
在最终重新定位后的18个月随访后,在受控的眼内压力下,实现了IOL稳定性.

结论:

这一案例凸显了在Yamane技术后出现晚期逆瞳孔阻塞和复发性IOL外置的可能性.
诸如光触结应力,虹膜不稳定性和关道问题等因素可能导致并发症.
强调细致的手术技术,适当的病例选择和勤奋的患者监测的重要性.

关键词:

雅曼尼 (Yamane) 是一个山脉.软性虹膜综合征是什么意思镜头外置 (镜头外置) 镜头外置.反向瞳孔的阻塞关节的固定关节的固定

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