Ultrasound Biomicroscopy in Pseudophakic Patients with Unexplained Recurrent Hyphema or Vitreous Hemorrhage
Ultrasound Biomicroscopy in Pseudophakic Patients with Unexplained Recurrent Hyphema or Vitreous Hemorrhage
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DOI：
10.1080/08820538.2016.1228984
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发表时间：
2016-12
影响因子：
1.7
通讯作者：
Saba Alniemi;Sejal Amin;L. Sculley;S. Bakri
中科院分区：
文献类型：
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作者：
Saba Alniemi;Sejal Amin;L. Sculley;S. Bakri
摘要 目的：描述患有不明原因的复发性前房出血或玻璃体出血的人工晶体眼患者在超声生物显微镜 (UBM) 上的虹膜或睫状体接触的 IOL 触觉。方法：对 10 名出现不明原因的复发性前房积血和/或玻璃体出血的患者进行回顾性病历检查。结果：共有 8 个后房型人工晶状体 (PCIOL) 和 2 个沟状晶状体。 4例有青光眼病史；两例有小梁切除术史的病例发现沿巩膜造口有一些桥接血管，需要氩激光房角成形术。未发现先前的外伤或视网膜病变。 UBM 在 PCIOL 病例中显示触觉睫状体或触觉虹膜接触，在两个晶状体沟病例中显示触觉虹膜接触。一个接受 PCIOL 的病例没有发现任何触觉虹膜或睫状体接触，而是视神经暂时移位，尽管触觉仍然位于囊内。结论：UBM 是评估不明原因复发性前房积血和/或玻璃体出血的人工晶状体眼患者触觉位置的有用工具。这是单一机构报告的最大的现有该临床实体患者系列。
ABSTRACT Purpose: To describe IOL haptic with iris or ciliary body touch on ultrasound biomicroscopy (UBM) in pseudophakic patients with unexplained recurrent hyphema or vitreous hemorrhage. Methods: Retrospective chart review of 10 patients who presented with unexplained recurrent hyphema and or vitreous hemorrhage. Results: There were eight posterior chamber intraocular lenses (PCIOL) and two sulcus lenses. Four cases had a history of glaucoma; two cases which had a history of trabeculectomy were found to have some bridging vessels along the sclerostomy requiring argon laser gonioplasty. No preceding trauma or retinal pathology was found. UBM revealed haptic-ciliary body or haptic-iris touch in cases with a PCIOL and haptic-iris touch in both sulcus lens cases. One case with a PCIOL did not reveal any haptic-iris or ciliary body touch and instead displacement of the optic temporally, though haptics remained intracapsular. Conclusions: UBM is a useful tool to evaluate haptic position in pseudophakic patients with unexplained recurrent hyphema and/or vitreous hemorrhage. This is the largest existing series of patients with this clinical entity reported from a single institution.