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Misdiagnosed opacification of a hydrophobic acrylic intraocular lens.
Journal of Cataract & Refractive Surgery ( IF 2.8 ) Pub Date : 2019-10-01 , DOI: 10.1016/j.jcrs.2019.07.024
Syed Naqib Ahmed 1 , Syed Mohammed Shahid 2 , Mayank A Nanavaty 3
Affiliation  

A 75-year-old woman was referred for decreased visual acuity resulting from "opacification of the IOL" in the immediate period after uneventful bilateral cataract surgery with single-piece AcrySof IQ intraocular lens (IOL) implantation. A neodymium:YAG laser capsulotomy had been performed in both eyes to treat the complication. Anterior segment optical coherence tomography performed at presentation showed an opaque membrane enveloping the IOL. The membrane was peeled from the anterior IOL surface, and all adherences between the IOL and capsular bag were freed. One year later, the eyes remained stable; the uncorrected distance visual acuity was 20/20, the IOL was clear, and there was no evidence of recurrence of the membrane. Appropriate imaging for the diagnosis and surgical peeling with freeing of the adhesions between the IOL and the capsular bag were essential to the success in this case.

中文翻译:

疏水性丙烯酸人工晶状体混浊的误诊。

一位75岁的女性因单片AcrySof IQ人工晶状体(IOL)植入而顺利进行的双侧白内障手术后不久因“ IOL浑浊”而导致视力下降而被转介。两只眼睛都进行了钕:YAG激光囊切开术以治疗并发症。演示时进行的前段光学相干断层扫描显示包裹IOL的不透明膜。从前IOL表面剥离膜,并释放IOL和囊袋之间的所有粘附。一年后,眼睛保持稳定。未经校正的远视力为20/20,IOL清晰,没有膜复发的迹象。
更新日期:2019-09-26
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