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报告12例(12眼)行白内障囊外摘除联合后房型人工晶体(PC-IOL)植入后发生人工晶体脱位或半脱位患者,其中瞳孔夹持7眼,“日落”综合征2眼,脱位于玻璃体、“东西”综合征和“日出”综合征各1眼。12眼中,瞳孔夹持1眼经保守治疗成功;2眼保守治疗未复位,但病情稳定;9眼行手术治疗,其中5眼由原切口直接取出人工晶体,1眼行联合玻璃体手术取出人工晶体,3眼瞳孔夹持行手术复位。认为瞳孔夹持早期以手术复位好,对白内障囊外摘除加PC-IOL植入术后出现IOL脱位或半脱位而视力尚可,且尚无并发症时,应尽早处理,以防发生严重的并发症。
Reported 12 patients (12 eyes) underwent extracapsular cataract extraction combined with posterior chamber intraocular lens (PC-IOL) implantation occurred after intraocular lens dislocation or subluxation, including pupil holding 7 eyes, sunset syndrome 2 eyes, off Located in the vitreous, “things” syndrome and “sunrise” syndrome in 1 eye. 12 eyes, the pupil holding a successful conservative treatment; 2 conservative treatment did not reset, but the disease was stable; 9 eyes underwent surgical treatment, of which 5 were removed directly from the original incision artificial lens, a line of vitreous surgery removed intraocular lens , 3 pupil holding row surgery reduction. That the early pupillary clamp surgery to restore a good, extracapsular cataract extraction plus PC-IOL implantation after IOL dislocation or subluxation and visual acuity is acceptable, and no complications, should be dealt with as soon as possible in case of serious complication.