Explanted multifocal intraocular lenses.
Explanted multifocal intraocular lenses.
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DOI：
10.1016/j.jcrs.2015.02.005
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发表时间：
2015-04
影响因子：
2.8
通讯作者：
M. van der Mooren;R. Steinert;Farrell C. Tyson;Michelle Langeslag;P. Piers
中科院分区：
文献类型：
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作者：
M. van der Mooren;R. Steinert;Farrell C. Tyson;Michelle Langeslag;P. Piers
我们报告2例，其中单片多焦点丙烯酸人工晶状体（IOL），因为并发症的存在下，在大部分的IOL光学反光。在这两种情况下，患者抱怨视力模糊或朦胧。IOL植入前的体内裂隙灯检查证实了1例病例中IOL光学部存在重度闪烁，第2例病例中存在中度闪烁。在第1例病例中，在IOL更换为单焦点IOL后，症状消退，矫正和未矫正远视力均改善4行。在第2例病例中，使用硬性接触透镜时视觉症状持续存在。更换为无反光的单焦点IOL后症状消退。这些结果表明，在植入多焦点IOL且患者需要优化视网膜灵敏度的情况下，由具有闪烁的IOL引起的杂散光可能具有临床意义。
We report 2 cases in which single-piece multifocal acrylic intraocular lenses (IOLs) were explanted because of complications related to the presence of glistenings in the bulk of the IOL optic. In both cases, the patients complained about blurry or hazy vision. In vivo slitlamp examinations prior to IOL explantation confirmed the presence of severe glistenings in the IOL optic in 1 case and moderate glistenings in the second case. In the first case, the symptoms resolved and both corrected and uncorrected distance visual acuities improved by 4 lines following IOL exchange with a monofocal IOL. In the second case, the visual symptoms persisted with a hard contact lens. Symptoms resolved following an exchange with a monofocal IOL that was free of glistenings. These findings indicate that straylight caused by IOLs with glistenings may be clinically significant in cases in which multifocal IOLs are implanted and patients require optimized retinal sensitivity.