人工晶状体反向光学区夹持法治疗前部巨眼白内障1例  

Treatment of anterior megalophthalmos cataract with reverse optic capture intraocular lens implantation:a case report

作　　者：刘若溪 方毅 李朝辉 杨芳[4] 刘东辉 Liu Ruoxi;Fang Yi;Li Zhaohui;Yang Fang;Liu Donghui(Department of Ophthalmology of the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150001,China;Department of Ophthalmology of Mingshui Kangying Hospital,Suihua 152001,China;Department of Ophthalmology of Guowen Hospital,Changchun 136999,China;Daqing Aier Eye Hospital,Daqing 163311,China;Department of Ophthalmology,Harbin Senhai Hospital,Harbin 150025,China)

机构地区：[1]黑龙江中医药大学附属第二医院眼科,哈尔滨150001 [2]黑龙江明水康盈医院眼科,绥化152001 [3]长春国文医院眼科中心,长春136199 [4]大庆爱尔眼科医院,大庆163311 [5]哈尔滨森海医院眼科,哈尔滨150025

出　　处：《中华眼科杂志》2023年第12期1042-1046,共5页Chinese Journal of Ophthalmology

摘　　要：患者男性,56岁,因“双眼视力逐渐下降,持续1年,并在最近3个月内急剧加重”就诊,初步诊断为双眼并发性白内障、双眼前部巨眼,行白内障摘除手术。术中发现晶状体悬韧带松弛且薄弱,采用了人工晶状体(IOL)反向光学区夹持法植入三片式IOL。术后裸眼视力显著改善。随访11年无眼压升高等不良反应。A 56-year-old male patient sought medical attention due to a gradual decline in bilateral visual acuity,which had been ongoing for a year and had rapidly worsened over the past three months.He received an initial diagnosis of bilateral concurrent cataracts and bilateral anterior megalophthalmos.Subsequently,cataract removal surgery was performed.During the surgery,it was observed that the patient had lax and fragile zonules of the crystalline lens.To address this issue,the surgical team employed reverse optic capture technique for the implantation of a three-piece intraocular lens.Following the surgery,the patient experienced a substantial improvement in uncorrected visual acuity.Remarkably,the patient remained free from adverse reactions,such as elevated intraocular pressure,during a follow-up period extending to 11 years.

关 键 词：白内障 眼畸形 眼疾病 遗传性 晶体植入 眼内 晶体 人工 随访研究 反向光学区夹持法 

分 类 号：R779.66[医药卫生—眼科]