2026年 · 第62卷第10期

This issue focuses on research progress related to cataract surgery and the clinical application of intraocular lenses. Professor Yan Hong is the editorial board member responsible for planning, compiling, and reviewing manuscripts for this issue.

Surgeon Introduction: Jin Haiying, Chief Physician, Associate Professor, PhD from Heidelberg University, Germany, and Doctoral Supervisor. Director of the Department of Ophthalmology at Shanghai Oriental Hospital. Member of the Ophthalmology Group of the Microsurgery Society of the Chinese Medical Association, Member of the Cataract Group of the Ophthalmologists Branch of the Chinese Medical Association, and Member of the Ophthalmology Branch of the Shanghai Medical Association.

The patient was an 84-year-old female. Due to a dark shadow floating in front of his right eye for 5 days, he was treated at the Department of Ophthalmology, Northern Jiangsu People's Hospital Affiliated to Yangzhou University. He had a history of hypertension for more than 50 years, diabetes for more than 10 years, and cerebral infarction for 5 years. Eye examination: the best corrected vision was 0.7 in the right eye and 1.0 in the left eye; Intraocular pressure was 15 mmHg in the right eye (1 mmHg = 0.133 kPa) and 16 mmHg in the left eye; The axial length was 20.34 mm in the right eye and 20.58 mm in the left eye; No obvious abnormalities were observed in the cornea and anterior chamber of the right eye, and the lens was moderately cloudy; The retina below the temporal fundus is spherical and bulging, with irregular white spots visible within it, and no retinal hole is visible (Excerpt Figure 1). Coherence light tomography examination: The neuroepithelium of the inferior temporal retina of the right eye was separated from each other, with a spherical bulge in the inner layer, and a point-like high reflection was visible below it, and the surface of the corresponding outer neuroepithelial layer was serrated (Excerpt Figure 2). Ocular ultrasound examination: a thin strip of hyperechoic light band in the retina below the right eye (excerpt image 3). Clinical diagnosis: degenerative retinal cleft in the right eye.

The patient was a 21-year-old male. He was admitted to Hebei Provincial Eye Hospital due to painless visual acuity decrease in his left eye for 20 days. Anti-tuberculosis treatment for pulmonary tuberculosis 3 years ago. General physical examination: positive tuberculin test (induration diameter 14 mm); Chest CT examination showed small patchy high-density shadows in the posterior segment of the upper lobe tip of the left lung with multiple nodular calcifications. Eye examination: naked-eye visual acuity was 1.0 in the right eye and 0.06 in the left eye (no improvement in correction); Normal intraocular pressure in both eyes; No significant abnormalities were observed in the anterior segments of both eyes; A yellowish-white spherical bulge above the temporal part of the left fundus macula, surrounding retinal edema, affecting the central fovea of the macula, and a star-like hard exudation can be seen in the macular area (excerpt picture 1). Coherence light tomography examination: exudative retinal detachment in the macular area of the left eye with interlaminar effusion, uneven medium-high reflex space-occupying upward growth of the choroid at the lesion, breaking through the retinal pigment epithelium, involving the outer nuclear layer, with interlaminar retinal effusion, and chororetinal dome-shaped bulge. Fluorescein fundus angiography and indocyanine green angiography are shown in Excerpt Figure 2. Clinical diagnosis: choroidal tuberculoma of the left eye.