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有晶状体眼人工晶状体植入治疗近视散光

Management of myopic astigmatism with phakic intraocular lens implantation.

作者信息

Gimbel Howard V, Ziémba Steven L

机构信息

Gimbel Eye Centre, Calgary, Alberta, Canada.

出版信息

J Cataract Refract Surg. 2002 May;28(5):883-6. doi: 10.1016/s0886-3350(01)01098-7.

DOI:10.1016/s0886-3350(01)01098-7
PMID:11978472
Abstract

A 48-year-old woman presented with a manifest refraction of -9.25 -2.25 x 98 that resulted in a best corrected visual acuity (BCVA) of 20/20(-2) in the right eye. She was contact lens intolerant but was not a good candidate for laser in situ keratomileusis because of a thin cornea. A phakic posterior chamber intraocular lens (IOL) with a toric optic was implanted with no operative complications. One day after surgery, the uncorrected visual acuity (UCVA) was 20/15. Five months postoperatively, the UCVA in the operated eye was 20/15 with a manifest refraction of +0.25 -0.25 x 60 and a BCVA of 20/15. No changes to the crystalline lens or anterior lens capsule were seen. This is the first report of implantation of a toric phakic IOL in North America.

摘要

一名48岁女性,右眼明显屈光不正为-9.25 -2.25×98,最佳矫正视力(BCVA)为20/20(-2)。她不耐受隐形眼镜,但由于角膜薄,不适合准分子原位角膜磨镶术。植入了一枚带散光光学部的有晶状体眼后房型人工晶状体(IOL),手术无并发症。术后一天,裸眼视力(UCVA)为20/15。术后五个月,手术眼的UCVA为20/15,明显屈光不正为+0.25 -0.25×60,BCVA为20/15。晶状体及晶状体前囊未见变化。这是北美首例关于植入散光有晶状体眼IOL的报道。

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