PDF(Pubmed)
Abstract：
We are reporting a case of a 22-year-old lady with bilateral microphthalmia and microcornea, in which a modified technique for sutureless scleral fixated intraocular lens implantation provided a successful aphakic rehabilitation alternative with a good visual outcome and significant improvement in quality of life. Management of aphakia in microphthalmic eyes is challenging due to the anatomical abnormalities and limited literature on managing such cases. Visual rehabilitation for aphakia using contact lenses is limited by intolerance and poor lens fitting. Significant optical aberrations may limit aphakic spectacle use, further exacerbated in patients with nystagmus. Thus, secondary IOL implantation seems to be a reasonable rehabilitation alternative; however, it is surgically challenging in microphthalmic eyes.
摘要：
我们正在报告一例22岁的双侧小眼症和微角膜患者，其中改进的无缝线巩膜固定人工晶状体植入术技术提供了一种成功的无晶状体康复替代方案，具有良好的视觉效果和生活质量的显着改善。由于解剖学异常和有关处理此类病例的文献有限，因此在微眼科中处理无晶状体眼具有挑战性。使用隐形眼镜的无晶状体的视觉康复受到不耐受和不良镜片配合的限制。显著的光学像差可能会限制无晶状体眼镜的使用，进一步加剧患者的眼球震颤。因此，二次IOL植入似乎是一种合理的康复选择;然而,它在微眼科中具有手术挑战性。
