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中华眼科医学杂志(电子版) ›› 2021, Vol. 11 ›› Issue (05) : 311 -315. doi: 10.3877/cma.j.issn.2095-2007.2021.05.011

综述

人工晶状体相关并发症的研究进展
王珏雪1, 王开杰1, 万修华1,()   
  1. 1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 北京市眼科学与视觉科学重点实验室
  • 收稿日期:2021-01-15 出版日期:2021-10-28
  • 通信作者: 万修华
  • 基金资助:
    北京市科技计划课题(Z191100002019013); 北京市医院管理中心临床医学发展专项经费(XMLX202133)

Advances on the intraocular lens related complications

Juexue Wang1, Kaijie Wang1, Xiuhua Wan1,()   

  1. 1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab., Beijing 100730, China
  • Received:2021-01-15 Published:2021-10-28
  • Corresponding author: Xiuhua Wan
引用本文:

王珏雪, 王开杰, 万修华. 人工晶状体相关并发症的研究进展[J]. 中华眼科医学杂志(电子版), 2021, 11(05): 311-315.

Juexue Wang, Kaijie Wang, Xiuhua Wan. Advances on the intraocular lens related complications[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(05): 311-315.

超声乳化白内障吸除联合人工晶状体(IOL)植入术自从问世以来,作为治疗白内障的有效手段,在全球白内障患者中都应用广泛。近年来,随着设备和IOL材料的不断更新,患者术后的视觉质量也在提高。IOL植入术后,可以出现IOL混浊、移位或脱位、屈光度误差及葡萄膜炎-青光眼-前房积血(UGH)综合征等相关并发症影响患者术后的视觉质量。本文中笔者就IOL相关并发症的诊断、产生原因及治疗方法进行综述。

Since its inception, phacoemulsification combined with intraocular lens (IOL) implantation as an effective means to treat cataracthas been widely used in cataract patients all over the world. In recent years, with the continuous updating of equipment and IOL materials, the postoperative visual quality of patients has also been improving. After IOL implantation, its related complications such as IOL opacity, displacement or dislocation, refractive error and uveitis-glaucoma-hyphema (UGH) syndrome may had the correlation with the decrease of patients′ visual quality. The diagnosis, causes and treatment of IOL related complications were reviewed in this article.

[1]
Milauskas AT. Silicone intraocular lens implant discoloration in humans [J]. Arch Ophthalmol, 1991, 109(7): 913-915.
[2]
Gupta PC, Ram J. A classification system of intraocular lens dislocation sites under operating microscopy, and the surgical techniques and outcomes of exchange surgery[J]. Graefes Arch Clin Exp Ophthalmol, 2016, 254(12): 2487-2488.
[3]
Le T, Rhee D, Sozeri Y. Uveitis-Glaucoma-Hyphema Syndrome: a Review and Exploration of New Concepts[J]. Curr Ophthalmol, 2020, 8: 165-171.
[4]
Bucher PJM, Büchi ER, Daicker BC. Dystrophic calcification of an implanted hydroxyethylmethacrylate intraocular lens[J]. Arch Ophthalmol, 1995, 113(11): 1431-1435.
[5]
Werner L, Hunter B, Stevens S, et al. Role of silicon contamination on calcification of hydrophilic acrylic intraocular lenses[J]. Am J Ophthalmol, 2006, 141(1): 35-43.
[6]
Costa JF, Bompastor-Ramos P, Marques M, et al. Large-scale opacification of a hydrophilic/hydrophobic intraocular lens[J]. Eur J Ophthalmol, 2020, 30(2): 307-314.
[7]
Kim DJ, Chuck RS, Lee JK, et al. Reversible opacification of hydrophobic acrylic intraocular lens-two cases report[J]. BMC Ophthalmol, 2017, 17(1): 111.
[8]
Ma ST, Yang CM, Hou YC. Postoperative intraocular lens opacification[J]. Taiwan J Ophthalmol, 2018, 8(1): 49-51.
[9]
Cavallini GM, Volante V, Campi L, et al. Postoperative diffuse opacification of a hydrophilic acrylic intraocular lens: analysis of an explant[J]. Int Ophthalmol, 2018, 38(4): 1733-1739.
[10]
Frohn A, Dick B, Augustin AJ, et al. Late opacificationof the foldable hydrophilic acrylic lens SC60B-OUV[J]. Oph-thalmology, 2001, 108(11): 1999-2004.
[11]
Grzybowski A, Markeviciute A, Zemaitiene R. A narrative review of intraocular lens opacifications: update 2020[J]. Ann Transl Med, 2020, 8(22): 1547.
[12]
Łabuz G, Knebel D, Auffarth GU, et al. Glistening Formation and Light Scattering in Six Hydrophobic-Acrylic Intraocular Lenses[J]. Am J Ophthalmol, 2018, 196: 112-120.
[13]
Kato K, Nishida M, Yamane H, et al. Glistening formation in an AcrySof lens initiated by spinodal decomposition of the polymer network by temperature change[J]. J Cataract Refract Surg, 2001, 27(9): 1493-1498.
[14]
Saylor DM, Coleman Richardson D, Dair BJ, et al. Osmotic cavitation of elastomeric intraocular lenses[J]. Acta Biomater, 2010, 6(3): 1090-1098.
[15]
Sher JH, Gooi P, Dubinski W, et al. Comparison of the incidence of opacification of Hydroview hydrogel intraocular lenses with the ophthalmic viscosurgical device used during surgery[J]. J Cataract Refract Surg, 2008, 34(3): 459-464.
[16]
Marcovich AL, Tandogan T, Bareket M, et al. Opacification of hydrophilic intraocular lenses associated with vitrectomy and injection of intraocular gas[J]. BMJ Open Ophthalmol, 2018, 3(1): e000157.
[17]
Khurana RN, Werner L. Calcification of a hydrophilic acrylic intraocular lens after pars plana vitrectomy[J]. Retin Cases Brief Rep, 2018 , 12(3): 204-206.
[18]
Roland S, Khoramnia R, Auffarth GU, et al. Opacification of hydrophilic intraocular lens after multiple injections of bevacizumab[J]. Ophthalmologe, 2019, 116(9): 882-886.
[19]
Park CY, Chuck RS. Reversible opacification of a hydrophilic acrylic intraocular lens[J]. J Cataract Refract Surg, 2012, 38(1): 166-169.
[20]
Gerding H. Fluorescein Staining of Intraocular Lenses[J]. Klin Monbl Augenheilkd. 2018, 235(4): 369-372.
[21]
Balendiran V, MacLean K, Mamalis N, et al. Localized calcification of hydrophilic acrylic intraocular lenses after posterior segment procedures[J]. J Cataract Refract Surg, 2019, 45(12): 1801-1807.
[22]
Yu AK, Kwan KY, Chan DH, et al. Clinical features of 46 eyes with calcified hydrogel intraocular lenses[J]. J Cataract Refract Surg, 2001, 27(10): 1596-1606.
[23]
Fernández J, Sánchez-García A, Rodríguez-Vallejo M, et al. Systematic review of potential causes of intraocular lens opacification[J]. Clin Exp Ophthalmol, 2020, 48(1): 89-97.
[24]
Kim JC, Kim CS, Choi SH, et al. Clinical characteristics of patients with opacification of hydrophilic acrylic intraocular lens after cataract surgery[J]. J Korean Ophthalmol Soc, 2005, 46: 1281-1290.
[25]
Espandar L, Mukherjee N, Werner L, et al. Diagnosis and management of opacified silicone intraocular lenses in patients with asteroid hyalosis[J]. J Cataract Refract Surg, 2015, 41: 222-225.
[26]
Lee YJ, Han SB. Laser treatment of silicone intraocular lens opacification associated with asteroid hyalosis[J]. Taiwan J Ophthalmol, 2019, 9(1): 49-52.
[27]
Fernández-Buenaga R, Alió JL, Pinilla-Cortés L, et al. Perioperative complications and clinical outcomes of intraocular lens exchange in patients with opacified lenses[J]. Graefes Arch Clin Exp Ophthalmol, 2013, 251: 2141-2146.
[28]
Moussa K, Leng T, Oatts JT, et al. Manual Removal of Intraocular Lens Silicone Oil Droplets and Dystrophic Calcifications Using a Nitinol Loop: A Case Series[J]. Ophthalmic Surg Lasers Imaging Retina, 2017, 48(5): 422-426.
[29]
Platt SM, Iezzi R, Mahr MA, et al. Surgical removal of dystrophic calcification on a silicone intraocular lens in association with asteroid hyalosis[J]. J Cataract Refract Surg, 2017, 43(12): 1608-1610.
[30]
Durr GM, Ahmed IIK. Intraocular Lens Complications: Decentration, Uveitis-Glaucoma-Hyphema Syndrome, Opacification and Refractive Surprises[J]. Ophthalmology, 2021, 128(11): e186-e194.
[31]
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: 805706.
[32]
Dabrowska-Kloda K, Kloda T, Boudiaf S, et al. 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.
[33]
Matsumoto M, Yamada K, Uematsu M, et al. Spontaneous dislocation of in-the-bag intraocular lens primarily in cases with prior vitrectomy[J]. Eur J Ophthalmol, 2012, 22(3): 363-367.
[34]
Liu E, Cole S, Werner L, et al. Pathologic evidence of pseudoexfoliation in cases of in-the-bag intraocular lens subluxation or dislocation[J]. J Cataract Refract Surg, 2015, 41(5): 929-935.
[35]
Mayer CF, Hirnschall N, Wackernagel W, et al. Late dislocation of a hydrophilic intraocular lens: risk ratios for predisposing factors and incidence rates[J]. Acta Ophthalmol, 2018, 96(7): e897-e898.
[36]
Fernández-Buenaga R, Alio JL, Pérez-Ardoy AL, et al. Late in-the-bag intraocular lens dislocation requiring explantation: risk factors and outcomes[J]. Eye (Lond), 2013, 27(7): 795-802.
[37]
Fan Q, Han X, Zhu X, et al. Clinical Characteristics of Intraocular Lens Dislocation in Chinese Han Populations[J]. J Ophthalmol, 2020: 8053941.
[38]
Yang S, Nie K, Jiang H, et al. Surgical management of intraocular lens dislocation: A meta-analysis[J]. PLoS One, 2019, 14(2): e0211489.
[39]
Hovanesian J, Epitropoulos A, Donnenfeld ED, et al. The Effect of Lifitegrast on Refractive Accuracy and Symptoms in Dry Eye Patients Undergoing Cataract Surgery[J]. Clin Ophthalmol, 2020, 14: 2709-2716.
[40]
Epitropoulos AT, Matossian C, Berdy GJ, et al. Effect of tear osmolarity on repeatability of keratometry for cataract surgery planning[J]. J Cataract Refract Surg, 2015, 41(8): 1672-1677.
[41]
Perez-Straziota CE, Randleman JB. Intraocular lens calculations after laser vision correction[J]. Curr Opin Ophthalmol, 2017, 28(1): 16-22.
[42]
Kane JX, Van Heerden A, Atik A, et al. Accuracy of 3 new methods for intraocular lens power selection[J]. J Cataract Refract Surg, 2017, 43(3): 333-339.
[43]
Zhang Y, Li T, Reddy A, et al. Gender differences in refraction prediction error of five formulas for cataract surgery[J]. BMC Ophthalmol, 2021, 21(1): 183.
[44]
Hayashi K, Ogawa S, Yoshida M, et al. Influence of Patient Age on Intraocular Lens Power Prediction Error[J]. Am J Ophthalmol, 2016, 170: 232-237.
[45]
Rosa AM, Miranda ÂC, Patrício M, et al. Functional Magnetic Resonance Imaging to Assess the Neurobehavioral Impact of Dysphotopsia with Multifocal Intraocular Lenses[J]. Ophthalmology, 2017, 124(9): 1280-1289.
[46]
Goemaere J, Trigaux C, Denissen L, et al. Fifteen years of IOL exchange: indications, outcomes and complications[J]. Journal of Cataract & Refractive Surgery, 2020, 46(12): 1596-1603.
[47]
Arthur SN, Wright MM, Kramarevsky N, et al. Uveitis-glaucoma-hyphema syndrome and corneal decompensation in association with cosmetic iris implants[J]. Am J Ophthalmol, 2009, 148(5): 790-793.
[48]
Lima BR, Pichi F, Hayden BC, et al. Ultrasound biomicroscopy in chronic pseudophakic ocular inflammation associated with misplaced intraocular lens haptics[J]. Am J Ophthalmol, 2014, 157(4): 813-817.
[49]
Zemba M, Camburu G. Uveitis-Glaucoma-Hyphaema Syndrome. General review[J]. Rom J Ophthalmol, 2017, 61(1): 11-17.
[50]
Jasinskas V, Vaiciuliene R, Varoniukaite A, et al. Novel microsurgical management of uveitis-glaucoma-hyphema syndrome[J]. Int Ophthalmol, 2019, 39(7): 1607-1612.
[51]
Elhusseiny AM, Lee RK, Smiddy WE. Surgical management of uveitis-glaucoma-hyphema syndrome[J]. Int J Ophthalmol, 2020, 13(6): 935-940.
[52]
Zhang L, Hood CT, Vrabec JP, et al. Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome[J]. J Cataract Refract Surg, 2014, 40(3): 490-492.
[53]
Liu Z, Zhang F, Wen Y, et al. Diode laser transscleral cyclophotocoagulation for uveitis-glaucoma-hyphema syndrome: A case report[J]. Medicine (Baltimore), 2020, 99(7): e18637.
[54]
Walland MJ. Uveitis-glaucoma-hyphaema (UGH) syndrome treated with local laser iridoplasty[J]. Clin Exp Ophthalmol, 2017, 45(6): 647-648.
[55]
Rech L, Heckler L, Damji KF. Serial intracameral bevacizumab for uveitis-glaucoma-hyphema syndrome: a case report[J]. Can J Ophthalmol, 2014, 49(6): e160-e162.
[56]
Arthur SN, Wright MM, Kramarevsky N, et al. Uveitis-glaucoma-hyphema syndrome and corneal decompensation in association with cosmetic iris implants[J]. Am J Ophthalmol, 2009, 148(5): 790-793.
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