后房型人工晶体脱位的临床分析

doi:10.6040/j.issn.1673-3770.0.2018.430

Abstract

Abstract: Objective To identify the predisposing factors and clinical characteristics of posterior intraocular lens dislocation, and to compare the surgical outcomes following treatment of dislocated intraocular lens. Methods This study is a retrospective evaluation of all cases with posterior intraocular lens dislocation that presented at the Yuhuangding Hospital from September 2007 until September 2017. All cases were divided into an early intraocular lens dislocation group(<3 months)and a late intraocular lens dislocation group(≧3 months)according to the time of occurrence. The medical records of 73 eyes of 70 patients were evaluated. The main outcome measures were primary disease and surgery, previous surgical history, ocular complications, axial, causes of dislocation, interval between cataract surgery and dislocation, type and degree of dislocation of intraocular lens, and surgical method for treatment of the dislocation. Results There were 11 eyes in the early intraocular lens dislocation group, including 9 eyes(81.8%)with posterior capsule rupture, 1 eye(9.1%)with history of trauma, 2 eyes(18.2%)with high myopia, and 4 eyes(36.4%)with prior vitrectomy. There were 62 eyes in the late intraocular lens dislocation group, including 12 eyes(19.4%)with history of trauma, 16 eyes(25.8%)with posterior capsule rupture, 27 eyes(43.5%)with zonular dehiscence, 20 eyes(32.3%)with high myopia, 7 eyes(11.3%)with uveitis, 4 eyes(6.5%)with retinitis pigmentosa, 11 eyes(17.7%)with prior vitrectomy, and 4 eyes(6.5%)with pseudoexfoliation syndrome. There were significant differences in the UCVA between the preoperative and postoperative stages. There was no significant difference in the UCVA between reposition and exchange. Conclusion Early dislocation of the intraocular lens is associated with surgical factors, such as posterior capsule rupture and improper placement of the intraocular lens. Late dislocation of the intraocular lens is associated with posterior capsule rupture and zonular dehiscence. High myopia, prior vitrectomy, and uveitis are risk factors for dislocation of the intraocular lens. It is necessary to choose the appropriate surgical method based on the complexity of dislocation of the intraocular lens.

Key words: Intraocular lens dislocation, Postoperative complications, Posterior capsule rupture, Risk factors

CLC Number:

R776

JIANG Xiuying, LI Yuanbin. Clinical analysis of posterior intraocular lens dislocation[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 105-110.

References

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