A 56-year-old male patient sought medical attention due to a gradual decline in bilateral visual acuity, which had been ongoing for a year and had rapidly worsened over the past three months. He received an initial diagnosis of bilateral concurrent cataracts and bilateral anterior megalophthalmos. Subsequently, cataract removal surgery was performed. During the surgery, it was observed that the patient had lax and fragile zonules of the crystalline lens. To address this issue, the surgical team employed reverse optic capture technique for the implantation of a three-piece intraocular lens. Following the surgery, the patient experienced a substantial improvement in uncorrected visual acuity. Remarkably, the patient remained free from adverse reactions, such as elevated intraocular pressure, during a follow-up period extending to 11 years.
患者男性，56岁，因“双眼视力逐渐下降，持续1年，并在最近3个月内急剧加重”就诊，初步诊断为双眼并发性白内障、双眼前部巨眼，行白内障摘除手术。术中发现晶状体悬韧带松弛且薄弱，采用了人工晶状体（IOL）反向光学区夹持法植入三片式IOL。术后裸眼视力显著改善。随访11年无眼压升高等不良反应。.