MANAGEMENT OF SUBLUXATED AND POSTERIORLY DISLOCATED INTRAOCULAR LENSES USING PARS-PLANA VITRECTOMY INSTRUMENTATION

被引：30

作者：

FLYNN, HW ^{[1
]}

BUUS, D ^{[1
]}

CULBERTSON, WW ^{[1
]}

机构：

[1] UNIV MIAMI,SCH MED,BASCOM PALMER EYE INST,DEPT OPHTHALMOL,MIAMI,FL 33152

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1990年 / 16卷 / 01期

关键词：

dislocated intraocular lens; iris fixation suture; pars plana vitrectomy; sublusated anterior chamber intraocular lens;

D O I：

10.1016/S0886-3350(13)80874-7

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Thirty-four patients with subluxated and posteriorly dislocated intraocular lenses (IOLs) had repositioning, replacement, or removal of the IOL using pars plana instrumentation. Of the 25 cases posteriorly dislocated into the formed vitreous, ten posterior chamber IOLs were repositioned into the ciliary sulcus, one anterior chamber IOL was repositioned into the anterior chamber angle, and eight posterior chamber IOLs were exchanged for anterior chamber IOLs through a limbal incision. In the remaining six cases, the IOL was removed but was not replaced because of concurrent ocular pathology. In nine cases with subluxation of an anterior chamber IOL into a large basal iridectomy, a pars plana approach after vitrectomy was used for repositioning the IOL into the anterior chamber angle. Complications included each of the following: intraoperative retinal dialysis, postoperative extension of a pre-existing subclinical retinal detachment, recurrent subluxation of an anterior chamber IOL, breakdown of chronic cystoid macular edema to form a macular hole, and pseudophakic pupillary block requiring laser iridotomy. © 1990, American Society of Cataract and Refractive Surgery. All rights reserved.

引用

页码：51 / 56

页数：6

共 21 条

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