国际眼科纵览 ›› 2024, Vol. 48 ›› Issue (1): 41-45.doi: 10.3760/ cma.j.issn.1673-5803.2024.01.008

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先天性虹膜脉络膜缺损合并白内障的围手术期风险评估及术中并发症处理

王震宇  贾宇轩  宋旭东   

  1. 首都医科大学附属北京同仁医院  北京同仁眼科中心  眼科学与视觉科学北京市重点实验室,北京 100730
  • 收稿日期:2023-08-08 出版日期:2024-02-25 发布日期:2024-02-28
  • 通讯作者: 宋旭东,Email:drxdsong@sina.com
  • 基金资助:
    国家自然科学基金(82271067);2022年度同仁医院自然培育基金(2021-YJJ-ZZL-040)  

Perioperative risk assessment and intraoperative complications management of congenital iris-choroid coloboma with cataract

Wang Zhenyu, Jia Yuxuan, Song Xudong   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China

  • Received:2023-08-08 Online:2024-02-25 Published:2024-02-28
  • Contact: Song Xudong, Email: drxdsong@sina.com
  • Supported by:
    National Natural Science Foundation of China (82271067); Beijing Tongren Hospital Natural Cultivation Fund (2021-YJJ-ZZL-040)  

摘要: 白内障是先天性虹膜脉络膜缺损的重要合并症,手术是目前唯一的治疗方式。为达到理想的术后效果,需在术前针对角膜、前房、晶状体、悬韧带及眼底等采用多种手段检查评估,设计手术方案,并对晶状体脱位、晶状体囊膜撕裂、角膜后弹力层脱离等术中并发症做好预案。术中使用瞳孔扩张装置辅助,联合瞳孔成型或植入人工虹膜的方式重建瞳孔,可提高术后视觉质量。(国际眼科纵览,2024, 48:41-45

关键词: 先天性虹膜脉络膜缺损, 白内障, 围手术期, 并发症

Abstract: Cataract is one of the important complications of congenital iris-choroid coloboma. Surgery is the only treatment at present. In order to achieve an ideal postoperative effect, the ophthalmologists should use various methods to exam and evaluate the patients’ cornea, anterior chamber, lens, zonule and fundus before surgery, design a surgical plan, and make plans for intraoperative complications such as ectopia lentis, capsule rupture or tear of lens, Descemet membrane detachment. The use of pupilexpander in cataract surgery, combined with pupilloplasty or artificial iris implantation, can improve postoperative visual quality and may be clinically applicable.  (Int Rev Ophthalmol, 2024, 48:  41-45)

Key words: congenital iris-choroid coloboma, cataract, perioperative period, complications