Bilateral Late-Onset Pigment Dispersion Syndrome following Implantable Collamer Lens Surgery: A Case Report.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2024-04-26 eCollection Date: 2024-01-01 DOI:10.1159/000538547

Andreas Katsimpris, Manjula Kumarasamy

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引用次数: 0

Abstract

Introduction: We report a case of bilateral pigment dispersion syndrome after 13 years of uncomplicated implantable collamer lens (ICL) surgery.

Case presentation: A 53-year-old woman was referred from her optometrist to our glaucoma clinic due to early superonasal visual field loss in both eyes. She was asymptomatic with no changes in visual acuity and had undergone bilateral ICL implantation 13 years ago to correct her high myopia. Clinical examination revealed pigment deposition on the corneal endothelium, iris transillumination defects, and iris vaulting at the areas of contact with the ICL. Gonioscopy showed open angles with significant pigmentation of the trabecular meshwork. The diagnosis of pigment dispersion syndrome secondary to ICL implantation was made, and subsequent follow-up visits demonstrated normal intraocular pressure IOP and stable visual fields.

Conclusion: Pigmentary dispersion syndrome can occur several years after ICL implantation. This case report emphasizes the need for long-term follow-up and monitoring after ICL surgery.

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植入式角膜塑形镜手术后的双侧迟发性色素分散综合征：病例报告。

导言：我们报告了一例不复杂的植入式有晶体眼人工晶体（ICL）手术 13 年后的双侧色素分散综合征病例：一位 53 岁的妇女因双眼早期上眼底视野缺损而从验光师处转诊至我院青光眼门诊。她没有任何症状，视力也没有变化，13 年前曾接受过双侧 ICL 植入术以矫正高度近视。临床检查发现，她的角膜内皮有色素沉积，虹膜透光缺陷，与 ICL 接触的部位有虹膜穹隆。视网膜镜检查显示，患者有开角现象，小梁网有明显的色素沉着。随后的随访显示眼压 IOP 正常，视野稳定：结论：色素分散综合征可在 ICL 植入数年后发生。本病例报告强调了对 ICL 手术后进行长期随访和监测的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.