PDF(Pubmed)
Abstract：
BACKGROUND: To report a case of sutureless scleral-fixated hydrophilic intraocular lens (FIL SSF IOL, Soleko, Italy) opacification following pars plana vitrectomy surgery using sulfur hexafluoride (SF6) for traumatic lens luxation associated with retinal detachment.
METHODS: A 77-year-old woman was referred to our emergency department after blunt trauma in her right eye. At the ophthalmic evaluation, visual acuity was hand movement, biomicroscopy showed pseudoexfoliation syndrome and a traumatic lens luxation in the vitreous chamber. The patient underwent pars plana vitrectomy, subluxated cataract explantation, and FIL SSF IOL implant. During surgery, an inferior retinal detachment was encountered, requiring 20% SF6 gas tamponade. No adverse events were encountered. One month postoperatively, visual acuity (BCVA) improved to 0,3 logMAR. At the 3-month follow-up, the patient presented with BCVA of 0,5 logMAR, and biomicroscopy showed a minimal IOL opacification. Six months postoperatively, BCVA decreased to 1.0 logMAR, and diffuse, IOL opacification was noted at slit lamp examination. The patient refused any other surgical intervention for IOL exchange.
CONCLUSIONS: Although hydrophilic IOL opacification gas related is known, to the best of our knowledge, this is the first case reported in the literature of FIL SSF IOL opacification after pars plana vitrectomy with gas tamponade for retinal detachment.
METHODS: A 77-year-old woman was referred to our emergency department after blunt trauma in her right eye. At the ophthalmic evaluation, visual acuity was hand movement, biomicroscopy showed pseudoexfoliation syndrome and a traumatic lens luxation in the vitreous chamber. The patient underwent pars plana vitrectomy, subluxated cataract explantation, and FIL SSF IOL implant. During surgery, an inferior retinal detachment was encountered, requiring 20% SF6 gas tamponade. No adverse events were encountered. One month postoperatively, visual acuity (BCVA) improved to 0,3 logMAR. At the 3-month follow-up, the patient presented with BCVA of 0,5 logMAR, and biomicroscopy showed a minimal IOL opacification. Six months postoperatively, BCVA decreased to 1.0 logMAR, and diffuse, IOL opacification was noted at slit lamp examination. The patient refused any other surgical intervention for IOL exchange.
CONCLUSIONS: Although hydrophilic IOL opacification gas related is known, to the best of our knowledge, this is the first case reported in the literature of FIL SSF IOL opacification after pars plana vitrectomy with gas tamponade for retinal detachment.
摘要：
背景：报告一例无缝线巩膜固定的亲水性人工晶状体（FILSSFIOL，Soleko,意大利）使用六氟化硫（SF6）治疗与视网膜脱离相关的外伤性晶状体脱位后，进行平面玻璃体切除术后的浑浊。
方法：一名77岁女性右眼钝器外伤后被转诊到我们的急诊科。在眼科评估中，视力是手的运动，生物显微镜检查显示玻璃体腔假性剥脱综合征和外伤性晶状体脱位。病人接受了平坦部玻璃体切除术，半脱位白内障外植术，和FILSSFIOL植入。手术期间,遇到了下视网膜脱离，需要20%的SF6气体填塞。没有发生不良事件。术后一个月,视力（BCVA）提高到0,3logMAR。在3个月的随访中，患者的BCVA为0.5logMAR，和生物显微镜显示最小的IOL混浊。术后六个月,BCVA降至1.0logMAR，和扩散，裂隙灯检查发现IOL混浊。患者拒绝任何其他手术干预以进行IOL交换。
结论：尽管已知与亲水性IOL混浊气体有关，据我们所知,这是文献报道的第一例FILSSF人工晶状体混浊术,行玻璃体切割伴气体填塞治疗视网膜脱离后.
方法：一名77岁女性右眼钝器外伤后被转诊到我们的急诊科。在眼科评估中，视力是手的运动，生物显微镜检查显示玻璃体腔假性剥脱综合征和外伤性晶状体脱位。病人接受了平坦部玻璃体切除术，半脱位白内障外植术，和FILSSFIOL植入。手术期间,遇到了下视网膜脱离，需要20%的SF6气体填塞。没有发生不良事件。术后一个月,视力（BCVA）提高到0,3logMAR。在3个月的随访中，患者的BCVA为0.5logMAR，和生物显微镜显示最小的IOL混浊。术后六个月,BCVA降至1.0logMAR，和扩散，裂隙灯检查发现IOL混浊。患者拒绝任何其他手术干预以进行IOL交换。
结论：尽管已知与亲水性IOL混浊气体有关，据我们所知,这是文献报道的第一例FILSSF人工晶状体混浊术,行玻璃体切割伴气体填塞治疗视网膜脱离后.
