国际眼科纵览 ›› 2024, Vol. 48 ›› Issue (3): 183-187.doi: 10.3760/ cma.j.issn.1673-5803.2024.03.005

• 综述 • 上一篇    下一篇

白内障术后晚期人工晶状体脱位的研究进展

田志勇 万修华   

  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 100730
  • 收稿日期:2023-10-05 出版日期:2024-06-22 发布日期:2024-06-17
  • 通讯作者: 万修华,Email: xiuhuawan@163.com E-mail: xiuhuawan@163.com
  • 基金资助:
    国家自然科学基金(82171037)

Research progress of late intraocular lens dislocation after cataract surgery

Tian Zhiyong, Wan Xiuhua   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 100730, China
  • Received:2023-10-05 Online:2024-06-22 Published:2024-06-17
  • Contact: Wan Xiuhua, Email: xiuhuawan@163.com E-mail: xiuhuawan@163.com
  • Supported by:
    National Natural Science Foundation of China (82171037)

摘要: 晚期人工晶状体(IOL)脱位是指白内障术后3个月或更长时间内发生的IOL脱位,是白内障术后一种罕见但严重的并发症。研究显示IOL脱位在白内障术后10~15年的累积发病率为0.1%~3%,并且近年来的发病率有上升趋势。多种因素可能导致晶状体悬韧带的断裂和囊袋皱缩从而引起IOL脱位,主要原因包括囊膜剥脱综合征、高度近视和创伤等。针对晚期IOL脱位,目前较常用的治疗方法有IOL复位手术和置换手术,具体的手术方式需要术者综合评估IOL脱位的情况来决定。

关键词: 白内障/外科学, 人工晶状体脱位

Abstract: Late intraocular lens (IOL) dislocation is a dislocation of the IOL that occurs 3 months or more after cataract surgery and is a rare but serious complication after cataract surgery. Studies have shown that the cumulative incidence of which in 10~15 years after surgery is 0.1% to 3%, and the incidence has been increasing in recent years. Dislocation of IOL may be caused by rupture of the zonular dehiscence and contraction of the capsular bag due to a variety of factors, including pseudoexfoliation, high myopia, and trauma, etc. At present, there are a series of preventive and therapeutic measures for advanced IOL dislocation. The most common treatment methods include IOL repositioning surgery and IOL exchange surgery. The specific surgical method needs the surgeon to comprehensively evaluate the situation of IOL dislocation to decide.

Key words: cataract/surgery, intraocular lens dislocation