[1]赵晓鹏,张锦鹏,严宏.晚期囊袋人工晶状体复合体脱位的发病原因与危险因素分析[J].眼科新进展,2017,37(6):591-593.[doi:10.13389/j.cnki.rao.2017.0150]
 ZHAO Xiao-Peng,ZHANG Jin-Peng,YAN Hong.Late in-the-bag dislocation of IOL bag complex:Mechanisms in etiology and risk factors[J].Recent Advances in Ophthalmology,2017,37(6):591-593.[doi:10.13389/j.cnki.rao.2017.0150]
点击复制

晚期囊袋人工晶状体复合体脱位的发病原因与危险因素分析/HTML
分享到:

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
37卷
期数:
2017年6期
页码:
591-593
栏目:
文献综述
出版日期:
2017-06-05

文章信息/Info

Title:
Late in-the-bag dislocation of IOL bag complex:Mechanisms in etiology and risk factors
作者:
赵晓鹏张锦鹏严宏
710038 陕西省西安市,第四军医大学唐都医院眼科
Author(s):
ZHAO Xiao-PengZHANG Jin-PengYAN Hong
Department of Ophthalmology,Tangdu Hospital,the Fourth Military Medical University,Xi’an 710038,Shaanxi Province,China
关键词:
人工晶状体脱位晶状体囊袋高度近视
Keywords:
intraocular lensdislocationlens capsulehigh myopia
分类号:
R776.1
DOI:
10.13389/j.cnki.rao.2017.0150
文献标志码:
A
摘要:
晚期囊袋内人工晶状体复合体脱位是白内障术后较少见的一种潜在并发症,严重影响了患者的生活质量,通常需要手术处理。人们对这种并发症越来越关注,因为近年来有数量增长的趋势。该种术后并发症可能以较长时间周期呈现。有研究显示白内障手术和脱位之间的时间间隔为10.9 a,人工晶状体脱位的累积危险度在白内障摘出术后10 a、20 a和25 a分别为0.1%、0.7%和1.7%。晚期囊袋内人工晶状体脱位是白内障术后多年的进展性小带裂开的结果,起源复杂而因素众多。本文将就晚期囊袋内人工晶状体脱位的发病情况、可能的病因机制与危险因素进行综述。
Abstract:
Late in-the-bag dislocation of intraocular lens bag complex is a rare but potential complication after cataract surgery,which can affect the quality of patients’ life seriously,and usually need surgical treatment.People are paying more attention to this complication,because it has been reported with increasing frequency in recent years.This complication may present after a long time frame.There is a research showing that the interval between cataract surgery and the dislocation was 10.9 years.The cumulative risk of IOL dislocation at 10 years,20 years,and 25 years after cataract extraction was 0.1%,0.7%,and 1.7% respectively.Late in-the-bag IOL dislocation is a result of progressive zonular dehiscence up to many years after cataract surgery,and its genesis is multifactorial.This article reviews the incidence,possible mechanism and risk factors of late in-the-bag IOL dislocation.

参考文献/References:

[1] OLSON RJ,MAMALIS N,WERNER L,APPLE DJ.Cataract treatment in the beginning of the 21st century[J].Am J Ophthalmol,2003,136(1):146-154.
[2] PALLIN SL,WALMAN GB.Posterior chamber intraocular lens implant centration:In or out of “the bag”[J].J Am Intraocul Implant Soc,1982,8(3):254-257.
[3] STARK WJ Jr,MAUMENEE AE,DATILES M,FAGADAU W,BAKER CC,WORTHEN D,et al.Intraocular lenses:complications and visual results[J].Trans Am Ophthalmol Soc,1983,81:280-309.
[4] SMITH SG,LINDSTROM RL.Malpositioned posterior chamber lenses:etiology,prevention,and management[J].J Am Intraocul Implant Soc,1985,11(6):584-591.
[5] SMIDDY WE,IBANEZ GV,ALFONSO E,FLYNN HW Jr.Surgical management of dislocated intraocular lenses.[J].J Cataract Refract Surg,1995,21(1):64-69.
[6] MELLO MO Jr,SCOTT IU,SMIDDY WE,FLYNN HW,FEUER W.Surgical management and outcomes of dislocated intraocular lenses[J].Ophthalmology,2000,107(1):62-67.
[7] KR E·PT E· L,KUZMIEN E* L,MILIAUSKAS A,JANULEVI CˇIEN I.Possible predisposing factors for late intraocular lens dislocation after routine cataract surgery[J].Medicina,2013,49(5):229-234.
[8] GIMBEL HV,CONDON GP,KOHNEN T,OLSON RJ,HALKIADAKIS I.Late in-the-bag intraocular lens dislocation:incidence,prevention,and management[J].J Cataract Refract Surg,2005,31(11):2193-2204.
[9] DAVISON JA.Capsule contraction syndrome[J].J Cataract Refract Surg,1993,19(5):582-589.
[10] SCHMIDBAUER JM,APPLE DJ,AUFARTH GU,PENG Q,PANDEY SK,WERNER L,JPet al.Komplikationsproile von Hinterkammerlinsesn;eine analyse 586 faltbrer and 2.077 rigider (PMMA-) explantierter intraokularlinsen[J].Ophthalmology,2001,98(11):1029-1035.
[11] CHANG DF.Prevention of bag-fixated IOL dislocation in pseudoexfoliation[J].Ophthalmology,2002,109(11):1951-1952.
[12] REY A,JURGENS I,DYRDA A,MASERAS X,MORILLA A.Surgical outcome of late in-the-bag intraocular lens dislocation treated with pars plana vitrectomy[J].Retina,2016,36(3):576-581.
[13] PUERINGER SL,HODGE DO,ERIE JC.Risk of late intraocular lens dislocation after cataract surgery,1980-2009:a population-based study[J].Am J Ophthalmol,2011,152(4):618-623.
[14] JAKOBSSON G,ZETTERBERG M,LUNDSTROM M,STENEVI U,GRENMARK R,SUNDELIN K.Late dislocation of in-the-bag and out-of-the bag intraocular lenses:ocular and surgical characteristics and time to lens repositioning[J].J Cataract Refract Surg,2010,36(10):1637-1644.
[15] CLARK A,MORLET N,NG JQ,PREEN DB,SEMMENS JB.Whole population trends in complications of cataract surgery over 22 years in Western Australia[J].Ophthalmology,2011,118(6):1055-1061.
[16] DABROWSKA-KLODA K,KLODA T,BOUDIAF S,JAKOBSSON G,STENEVI U.Incidence and risk factors of late in-the-bag intraocular lens dislocation:Evaluation of 140 eyes between 1992 and 2012[J].J Cataract Refract Surg,2015,41(7):1376-1382.
[17] HAYASHI K,HIRATA A,HAYASHI H.Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery[J].Ophthalmology,2007,114(5):969-975.
[18] DAVIS D,BRUBAKER J,ESPANDAR L,STRINGHAM J,CRANDALL A,WERNER L,et al.Late in-the-bag spontaneous intraocular lens dislocation:evaluation of 86 consecutive cases[J].Ophthalmology,2009,116(4):664-670.
[19] 王文清,贾丽丽,陆斌,方健,陈颖.囊袋内人工晶状体重度移位或脱位的原因分析及处理[J].中华眼科杂志,2006,42(5):396-399.
WANG WQ,JIA LL,LU B,FANG J,CHEN Y.Cause analysis and management of severe dislocated or subluxated intraocular lenses in the capsular bag[J].Zhonghua Yan Ke Za Zhi,2006,42(5):396-399.
[20] 吕明原,孙伟,张辉,吴晓明,谢立信.后房型人工晶状体移位或脱位的相关因素分析及预防处理[J].国际眼科杂志,2011,11(4):605-607.
LV MY,SUN W,ZHANG H,WU XM,XIE LX.Analysis of the relevant factors and preventive treatment of IOL displacement or dislocation[J].Int Eye Sci,2011,11(4):605-607.
[21] FERNANDEZ-BUENAGA R,ALIO JL,PEREZ-ARDOY AL,LARROSA-QUESADA A,PINILA-CORTES L,BARRAQUER R,et al.Late in-the-bag intraocular lens dislocation requiring explantation:risk factors and outcomes[J].Eye,2013,27(7):795-801.
[22] GUBER I,MOUVET V,BERGIN C,PERRITAZ S,OTHENIN-GIRARD P,MAJO F.Clinical outcomes and cataract formation rates in eyes 10 years after posterior phakic lens implantation for myopia[J].JAMA Ophthalmol,2016,134(5).
[23] ASCASO FJ,HUERVA V,GRZYBOWSKI A.Epidemiology,etiology,and prevention of late IOL-Capsular bag complex dislocation:review of the literature[J].J Ophthalmol,2015,2015(5):1-7.

相似文献/References:

[1]甄小妹 马忠旭 刘汝瑜 张娜 张伟 薛庆.全眼球差对人工晶状体眼视觉质量的作用[J].眼科新进展,2012,32(4):000.
[2]王勇 叶应嘉 鲍先议 周龑丽 许荣 彭婷婷 余天.小切口经虹膜缝线固定后房型人工晶状体植入术治疗无晶状体眼[J].眼科新进展,2012,32(5):000.
[3]赵红 陈彬川 王永成 薛晓乐 赵焕.七叶洋地黄双苷滴眼液对不同年龄段人工晶状体眼伪调节力的影响[J].眼科新进展,2012,32(5):000.
[4]曹利群 王桂琴 彭秀军 李娜 卢成戎 贾洪真 石芊.疏水性和肝素修饰亲水性丙烯酸酯人工晶状体的临床应用效果对比[J].眼科新进展,2012,32(5):000.
[5]吴星.年龄相关性白内障患者超声乳化手术前后对比敏感度分析[J].眼科新进展,2012,32(6):000.
[6]徐威.注射器针头囊袋内吸附劈核法在白内障手术中的应用[J].眼科新进展,2012,32(7):000.
[7]刘珣 王欣玲 柏全豪 张劲松 阎启昌.IOLMaster与四种人工晶状体屈光度计算公式的准确性研究[J].眼科新进展,2013,33(2):000.
[8]浦利军.玻璃体切割系统在小瞳孔白内障手术中的应用[J].眼科新进展,2013,33(8):000.
[9]周璐 黄振平.非球面多焦点 IOL 眼的对比敏感度和拟调节力分析[J].眼科新进展,2012,32(1):000.
[10]刘虹 马朋举.AcrySof Toric人工晶状体治疗白内障并矫正角膜散光的临床研究[J].眼科新进展,2012,32(1):000.

备注/Memo

备注/Memo:
第四军医大学唐都医院2015年临床创新基金(编号:2015LCYJ018)
更新日期/Last Update: 2017-06-28