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白内障术后晚期人工晶状体脱位的研究进展

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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.(国际眼科纵览,2024,48:183J87)
Research progress of late intraocular lens dislocation after cataract surgery
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 inci-dence has been increasing in recent years.Dislocation of IOL may be caused by rupture of the zonular dehis-cence and contraction of the capsular bag due to a variety of factors,including pseudoexfoliation,high myo-pia,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 sur-gery.The specific surgical method needs the surgeon to comprehensively evaluate the situation of IOL dislo-cation to decide.(Int Rev Ophthalmol,2024,48:183-187)

cataract/surgeryintraocular lens dislocation

田志勇、万修华

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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

白内障/外科学 人工晶状体脱位

国家自然科学基金

82171037

2024

国际眼科纵览
中华医学会 北京市眼科研究所

国际眼科纵览

影响因子:0.243
ISSN:1673-5803
年,卷(期):2024.48(3)