PDF(Pubmed)
Abstract：
UNASSIGNED: If an intraocular lens (IOL) is incorrectly labeled, problems can arise for surgeons and patients. Precise biometry is important to accurately determine the IOL power and prevent the implantation of the wrong IOL. Labeling and verifying IOLs with accuracy is crucial to ensuring the best possible results of cataract surgery.
UNASSIGNED: Mislabeling of IOLs can cause unpredictable problems for surgeons. However, we can prevent incorrect IOLs by using precise biometry to determine accurate IOL power and safely implant the correct IOL. A 50-year-old female with no medical or ocular history came to our clinic complaining of decreased vision in both eyes that had been ongoing for several months. After being diagnosed with cataracts, primary angle closure suspect, and high hyperopia, the patient underwent phacoemulsification surgery. A posterior chamber IOL was implanted, and visco-goniosynechialysis was performed. During follow-up appointments, it was discovered that the patient had an uncorrected visual acuity of 20/50 in her right eye, which was corrected to 20/20 with a + 7.00 D lens. Upon further evaluation, it was determined that the source of the error was due to a manufacturing mislabeling of the IOL power. The patient then underwent successful IOL exchange surgery, and her best-corrected visual acuity became 20/20 with no significant refraction. This case highlights an uncommon source of refractive surprise after phacoemulsification surgery, successfully managed with IOL exchange surgery using the same IOL power from a different brand.
UNASSIGNED: Mislabeling of IOLs can cause unpredictable problems for surgeons. However, we can prevent incorrect IOLs by using precise biometry to determine accurate IOL power and safely implant the correct IOL. A 50-year-old female with no medical or ocular history came to our clinic complaining of decreased vision in both eyes that had been ongoing for several months. After being diagnosed with cataracts, primary angle closure suspect, and high hyperopia, the patient underwent phacoemulsification surgery. A posterior chamber IOL was implanted, and visco-goniosynechialysis was performed. During follow-up appointments, it was discovered that the patient had an uncorrected visual acuity of 20/50 in her right eye, which was corrected to 20/20 with a + 7.00 D lens. Upon further evaluation, it was determined that the source of the error was due to a manufacturing mislabeling of the IOL power. The patient then underwent successful IOL exchange surgery, and her best-corrected visual acuity became 20/20 with no significant refraction. This case highlights an uncommon source of refractive surprise after phacoemulsification surgery, successfully managed with IOL exchange surgery using the same IOL power from a different brand.
摘要：
■如果人工晶状体（IOL）标记不正确，外科医生和患者可能会出现问题。精确的生物测量对于准确确定IOL功率和防止错误的IOL植入很重要。准确标记和验证IOL对于确保白内障手术的最佳结果至关重要。
■错误标记IOL会给外科医生带来不可预测的问题。然而,我们可以通过使用精确的生物测量来确定准确的IOL功率并安全地植入正确的IOL来防止错误的IOL。一位没有病史或眼部病史的50岁女性来到我们的诊所，抱怨两只眼睛的视力下降已经持续了几个月。在被诊断患有白内障之后,主角闭合可疑,和高度远视，患者接受了超声乳化手术。植入后房型人工晶状体，并进行了粘胶-房角分离分析。在后续预约期间，发现患者右眼的未矫正视力为20/50，用+7.00D透镜校正为20/20。经进一步评估，确定错误的来源是由于IOL电源的制造错误标记.患者随后接受了成功的IOL交换手术，她的最佳矫正视力为20/20，没有明显的屈光。此病例突出了白内障超声乳化手术后屈光意外的罕见来源，使用来自不同品牌的相同IOL功率,成功进行IOL交换手术.
■错误标记IOL会给外科医生带来不可预测的问题。然而,我们可以通过使用精确的生物测量来确定准确的IOL功率并安全地植入正确的IOL来防止错误的IOL。一位没有病史或眼部病史的50岁女性来到我们的诊所，抱怨两只眼睛的视力下降已经持续了几个月。在被诊断患有白内障之后,主角闭合可疑,和高度远视，患者接受了超声乳化手术。植入后房型人工晶状体，并进行了粘胶-房角分离分析。在后续预约期间，发现患者右眼的未矫正视力为20/50，用+7.00D透镜校正为20/20。经进一步评估，确定错误的来源是由于IOL电源的制造错误标记.患者随后接受了成功的IOL交换手术，她的最佳矫正视力为20/20，没有明显的屈光。此病例突出了白内障超声乳化手术后屈光意外的罕见来源，使用来自不同品牌的相同IOL功率,成功进行IOL交换手术.
