双眼白内障术后单眼人工晶状体混浊一例

One eye intraocular lens opacity after bilateral cataract surgery:a case report

人工晶状体混浊是白内障术后较为少见的并发症,患者多于手术后数月或数年因不明原因视力下降或视朦就诊。本文报道一例73岁女性患者,在同一时期双眼先后植入同一型号亲水性丙烯酸酯人工晶状体,术后6年右眼人工晶状体完全混浊,而左眼人工晶状体仍为完全透明状态。两眼的临床眼部体征、眼前节光学相干断层成像(optic coherence tomography,OCT)、超声生物显微镜检查(ultrasound biomicroscopy,UBM)等检查结果均有明显差异,人工晶状体混浊眼通过手术治疗后视力恢复满意。文章详细记录了该例患者术前的相关资料、手术治疗以及手术取出人工晶状体的检查结果,并进行了分析讨论,供专家同行参阅,为该类患者的诊疗提供参考。

Intraocular lens opacity is a relatively rare complication after cataract surgery.Many patients seek medical service several months or years after surgery,due to unexplained visual impairment or blurred vision.A case is reported in this article that a 73-year-old female patient who was implanted the same type of hydrophilic acrylate intraocular lens in both eyes during the same period.After 6 years of surgery,the right intraocular lens was completely cloudy,while the left intraocular lens remained completely transparent.Significant differences were found in two eyes clinical symptoms,optical coherence tomography(OCT),and ultrasound biomicroscopy(UBM)examination results.After surgical treatment,the vision of eye with intraocular lens opacity has recovered satisfactorily.In the article,the detailed record of the patient's preoperative relevant information,surgical treatment,and examination results of removing the intraocular lens were stated.The analysis and discussion results were also indicated to provide reference on the diagnosis and treatment of this type of patient for experts and colleagues.