Introduction of longstanding complicated sulcus intraocular lens into the intact capsular bag  

作　　者：Fathy Fawzy Morkos Nader Fathy Fawzy Mohamed El Bahrawy Rania Serag Elkitkat 

机构地区：[1]Watany Research and Development Center,Watany Eye Hospital,Cairo 11799,Egypt [2]Department of Ophthalmology,Faculty of Medicine,Ain Shams University,Cairo 11799,Egypt

出　　处：《International Journal of Ophthalmology(English edition)》2021年第11期1779-1783,共5页国际眼科杂志（英文版）

摘　　要：AIM:To propose a surgical technique that successfully reopened the empty and intact capsular bag after long periods of closure,with repositioning of the intraocular lens(IOL)from the ciliary sulcus into its preferred habitat inside the capsular bag.METHODS:This is a case series,prospective,and interventional study.The technique was first performed on an aphakic high myope with a closed posterior capsule for 18 y.Afterwards,five patients with recurrently displaced sulcus IOLs for a range of 1 mo to 7 y were performed for the same technique.During surgery,identifying a"telltale white line"was an important landmark for detecting the site of major adhesions between the edge of the capsulorhexis and the posterior capsule.These adhesions were freed using combined manual and viscoelastic dissection,followed by an easier freeing of adhesions along the whole capsular bag.The IOL was safely implanted,exchanged,or introduced from the sulcus into the fibrotic and closed capsular bag.Patients were followed up for a period ranging from 6 to 17 mo postoperatively.RESULTS:All the patients experienced a remarkable improvement in their subjective refraction.Slit lamp examination showed a postoperative centralized IOL in the bag.The follow up visits confirmed visual and IOL stability.CONCLUSION:This newly-introduced surgical technique facilitates the reopening of the empty yet intact capsular bag that has been closed by fibrotic proliferations,with secured implantation of the IOL inside the capsular bag.Patients with inadvertent implantation of IOLs into the ciliary sulcus,yet having an intact capsular bag,can benefit from this technique.

关 键 词：late in the bag technique displaced sulcus lOLs post cataract visual rehabilitation closed capsular lens bag 

分 类 号：R779.66[医药卫生—眼科]