PDF(Pubmed)
Abstract：
We describe a technique of scleral IOL fixation and optic centration of in the capsular bag subluxated IOL in a patient of \"dead bag syndrome.\" A 29-year-old male diagnosed case of thalassemia presented with painless progressive diminution of vision in the left eye following uncomplicated sequential phacoemulsification in both eyes 15 years back. The right eye revealed completely centered IOL with significant amount of anterior capsular opacification (ACO), while the left eye revealed inferior subluxation of the IOL within capsular bag. The capsular bag was dilated, diaphanous with clear anterior and posterior capsule without any evidence of capsular fibrosis or opacification. Thus, a diagnosis of \"dead bag syndrome\" was made. The haptics were sutured to sclera (Hoffman\'s pockets) using two loops of 9-0 polypropylene, passed anterior and posterior to IOL haptics within the capsular bag. Postoperatively, the patient had a vision of 20/40 with a centered intraocular lens.
摘要：
我们描述了“死袋综合征”患者的巩膜IOL固定和囊袋半脱位IOL的视神经集中技术。“一名29岁的男性诊断为地中海贫血的病例，在15年前双眼进行了简单的序贯超声乳化术后，左眼视力出现无痛的进行性下降。右眼显示IOL完全居中，伴有明显的前囊混浊（ACO），而左眼显示囊袋内IOL的下半脱位。囊袋扩张，透明，前后囊清晰，无任何包膜纤维化或混浊迹象。因此，诊断为“死袋综合症”。使用两个9-0聚丙烯环将触觉缝合到巩膜（霍夫曼口袋）上，通过囊袋内的IOL触觉的前后。术后,患者的视力为20/40,人工晶状体位于中心.
