DSAEK for implantable collamer lens dislocation and corneal decompensation 6 years after implantation.
DSAEK for implantable collamer lens dislocation and corneal decompensation 6 years after implantation.
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DOI：
10.3928/15428877-20120712-04
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发表时间：
2012-07-19
期刊：
影响因子：
--
通讯作者：
Navas, Alejandro
中科院分区：
文献类型：
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作者：
Espinosa-Mattar, Zoraida;Gomez-Bastar, Arturo;Navas, Alejandro
一名有高度近视病史的 39 岁女性，6 年前顺利植入有晶状体眼后房植入式人工晶状体 (ICL)，双眼视力为 20/20。该患者因钝性外伤后右眼视力突然下降，出现紧急情况。裂隙灯检查显示前房 ICL 部分脱位，与高眼压有关。我们决定用局部降眼压药和 ICL 手术重新定位来治疗她。内皮细胞逐渐丧失，视力下降。需要进行后弹力层剥离自动内皮角膜移植术来纠正内皮衰竭。此病例在植入数年后出现 ICL 潜在并发症，在此类手术中应予以考虑。
A 39-year-old woman with a history of high myopia underwent uneventful implantation of phakic posterior chamber implantable collamer lenses (ICLs) 6 years earlier in both eyes with a visual acuity of 20/20 bilaterally. The patient presented as an emergency with sudden decreased vision in her right eye after blunt trauma. Slit-lamp examination showed a partially dislocated ICL in the anterior chamber, associated with ocular hypertension. It was decided to treat her with topical ocular hypotensive agents and surgical repositioning of the ICL. There was a progressive loss of endothelial cells and decreased visual acuity. Descemet stripping automated endothelial keratoplasty was needed to correct the endothelial failure. This case presents a potential complication of the ICL several years after implantation, and should be considered in these types of procedures.