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白内障超声乳化手术伤口灼伤的临床病程

Clinical course of phacoemulsification wound burns.

作者信息

Sugar A, Schertzer R M

机构信息

W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, USA.

出版信息

J Cataract Refract Surg. 1999 May;25(5):688-92. doi: 10.1016/s0886-3350(99)00021-8.

Abstract

PURPOSE

To present 3 cases illustrating the outcomes of phacoemulsification corneal wound burns.

SETTING

A university referral center.

METHODS

This was a retrospective case series.

RESULTS

Three patients developed corneal wound burns during phacoemulsification of cataract. All eyes developed from +7.00 to +15.00 diopters of astigmatism in the axis of the incision. In 2 eyes, the astigmatism decreased over several months. The third had permanent high astigmatism and corneal edema requiring corneal transplantation.

CONCLUSIONS

Corneal wound burns occurring during phacoemulsification can have serious effects on the cornea, including corneal edema and severe astigmatism. In the milder cases, the astigmatism decreases spontaneously over several months.

摘要

目的

介绍3例说明白内障超声乳化手术角膜伤口烧伤后果的病例。

机构

一所大学转诊中心。

方法

这是一个回顾性病例系列。

结果

3例患者在白内障超声乳化手术期间发生角膜伤口烧伤。所有术眼在切口轴向上出现了7.00至15.00屈光度的散光。2只眼的散光在数月内有所减轻。第三只眼有永久性高度散光和角膜水肿,需要进行角膜移植。

结论

白内障超声乳化手术期间发生的角膜伤口烧伤可对角膜产生严重影响,包括角膜水肿和严重散光。在较轻的病例中,散光在数月内会自发减轻。

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