Solving intraocular lens-related pigment dispersion syndrome with repositioning of primary sulcus implanted single-piece IOL in the capsular bag

被引:17
|
作者
Kohnen, Thomas [1 ,3 ]
Kook, Daniel [2 ]
机构
[1] Goethe Univ Frankfurt, Dept Ophthalmol, D-60590 Frankfurt, Germany
[2] Univ Munich, Dept Ophthalmol, Munich, Germany
[3] Baylor Coll Med, Cullen Eye Inst, Houston, TX 77030 USA
关键词
POSTERIOR CHAMBER LENS; OPTIC EDGE; GLAUCOMA; SECONDARY; PRESSURE;
D O I
10.1016/j.jcrs.2009.05.005
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We describe 2 cases of pigment dispersion syndrome (PDS) after uneventful phacoemulsification and implantation of a posterior chamber single-piece intraocular lens (IOL) with a sharp-edge design. In both cases, several days after IOL implantation, marked pigment dispersion was seen on the iris and in the trabecular meshwork, associated with an elevation in intraocular pressure (IOP). Thorough examination showed that the implanted IOL was in the ciliary sulcus. After surgical repositioning of both IOLs in the capsular bag, the pigment dispersion regressed and the IN returned to normal limits. The 2 cases suggest that particularly in PDS patients, an IOL with an anterior sharp-edge design should be implanted in the capsular bag. Implantation in the ciliary sulcus should be avoided. J Cataract Refract Surg 2009; 35:1459-1463 (C) 2009 ASCRS and ESCRS
引用
收藏
页码:1459 / 1463
页数:5
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