Treatment of pseudophakic aqueous misdirection syndrome.

IF 3.9 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

Scientific Reports Pub Date : 2025-01-09 DOI:10.1038/s41598-024-83659-y

Joel-Benjamin Lincke, Nathanael Häner, Megir Schawkat, Martin S Zinkernagel, Jan Darius Unterlauft

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Abstract

To describe the management and clinical course of 12 cases of pseudophakic aqueous misdirection syndrome (AMS). Twelve eyes of 12 Patients diagnosed with pseudophakic AMS between 2021 and 2022 were included. Best-corrected visual acuity, refraction, intraocular pressure (IOP), anti-glaucomatous medication, spectral domain ocular coherence tomography (SD-OCT) and postoperative complications were evaluated. The mean time of AMS onset was 888 days (SD ± 1210, range: 1-2920) after cataract surgery. Treatment with IOP-lowering medication alone was non-sufficient in all followed cases. Laser iridotomy (LIT) was performed in 4 eyes and led to resolution of AMS in 3 eyes. Nine eyes were treated surgically with 23-gauge pars plana vitrectomy and irido-zonulectomy. The most common postsurgical complication was cystoid macular edema (CME), occurring in 30% of cases. AMS is a rare but serious complication after cataract surgery, which can occur many years later. While LIT can be tried as first line treatment, pars plana vitrectomy with irido-zonulectomy is often required to ultimately control IOP in these eyes. A common complication after vitrectomy is CME.

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假性晶状体水误导综合征的治疗。

目的描述12例假性晶状体水误导综合征（AMS）的治疗及临床过程。在2021年至2022年期间，12名被诊断为假性AMS的患者的12只眼睛被纳入研究。评估最佳矫正视力、屈光、眼压、抗青光眼药物、光谱域眼相干断层扫描（SD-OCT）及术后并发症。白内障术后AMS发病时间平均为888天（SD±1210，范围1 ~ 2920）。在所有随访病例中，仅使用降血压药物治疗是不够的。4眼行激光虹膜切开术（LIT）， 3眼AMS消失。9只眼行23号玻璃体切除及虹膜带切除术。最常见的术后并发症是囊样黄斑水肿（CME），发生率为30%。AMS是白内障手术后罕见但严重的并发症，可能在多年后发生。虽然LIT可以作为一线治疗，但通常需要睫状体部玻璃体切除术联合虹膜带切除术来最终控制这些眼睛的IOP。玻璃体切除术后常见的并发症是CME。

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

Scientific Reports Natural Science Disciplines-

CiteScore

7.50

自引率

4.30%

发文量

19567

审稿时长

3.9 months

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