Management of iatrogenic crystalline lens injury occurred during intravitreal injection
Management of iatrogenic crystalline lens injury occurred during intravitreal injection
复制标题
DOI：
10.1007/s10792-015-0156-5
复制
发表时间：
2016-08-01
影响因子：
1.6
通讯作者：
Ergin, Ahmet
中科院分区：
文献类型：
--
作者：
Erdogan, Gurkan;Gunay, Betul Onal;Ergin, Ahmet
评估玻璃体内注射 (IVI) 期间发生医源性晶状体损伤的处理方法。该研究纳入了因 IVI 导致医源性晶状体损伤后接受手术治疗或未经干预进行随访的患者。在无意中晶状体囊膜损伤的患者中，囊膜破裂要么保持静止状态，要么导致白内障形成。对具有较低流体设置的白内障形成的患者进行超声乳化手术。研究共纳入9例。 7例行超声乳化人工晶状体植入术。随访期间仍有两例保持静态晶状体损伤。 2 例患者在超声乳化吸出术期间发生晶状体碎片脱位，并同时进行了平坦部玻璃体切除术。医源性晶状体损伤后，囊膜损伤可能保持静止或进展为白内障形成。尽管可以使用适当的参数进行超声乳化手术，但在继发于 IVI 的创伤性晶状体损伤的情况下，可以观察到晶状体碎片脱位。
To evaluate the approach to management of iatrogenic crystalline lens injury occurred during intravitreal injection (IVI). The patients who were managed operatively or followed-up without intervention after the iatrogenic lens injury due to IVI were included in the study. Capsular breaks remained either quiescent or resulted in cataract formation in the patients with inadvertent crystalline lens capsule damage. Phacoemulsification surgery was performed in patients with cataract formation with lower fluidic settings. A total of 9 cases included in the study. Seven cases underwent phacoemulsification with intraocular lens implantation. Two cases remained as quiescent lens injury during the follow-up. In 2 cases, dislocation of lens fragments occurred during phacoemulsification where pars plana vitrectomy was performed at the same session. After iatrogenic crystalline lens injury, capsular damage could remain quiescent or progress to cataract formation. Although phacoemulsification surgery can be performed with appropriate parameters, lens fragment dislocation can be observed in cases with traumatic lens damage secondary to IVI.