Ang Ghee Soon, Ong Jong Min, Eke Tom
Department of Ophthalmology, Norfolk & Norwich University Hospital, Norwich, UK.
Am J Ophthalmol. 2006 Jun;141(6):1151-2. doi: 10.1016/j.ajo.2006.01.036.
To describe a technique of phacoemulsification for patients unable to lie flat.
Prospective interventional case report.
Two patients unable to lie flat during phacoemulsification underwent this technique in a University Ophthalmology Department in the United Kingdom. Each patient was positioned erect or semirecumbent in a standard reclining cataract surgical chair. The ceiling-mounted microscope was rotated 60 degrees from the vertical to point toward the patient. The surgeon sat beside the patient, and while facing him or her, operated at nearly arm's length.
The intraoperative and postoperative periods were uneventful in both patients, with good visual outcomes after surgery.
This technique is valuable for situations where the patient or the eye requires upright positioning because of the inability to recline flat, and should be considered for cases where standard surgical positioning is not possible.
描述一种针对无法平躺患者的超声乳化技术。
前瞻性干预性病例报告。
两名在超声乳化手术过程中无法平躺的患者在英国一所大学眼科接受了该技术。每位患者在标准可倾斜白内障手术椅上呈直立或半卧位。天花板安装的显微镜从垂直方向旋转60度指向患者。外科医生坐在患者旁边，面向患者，在几乎一臂远的距离进行手术。
两名患者术中及术后过程均顺利，术后视力良好。
该技术对于因无法平躺而患者或眼睛需要直立位的情况很有价值，对于无法采用标准手术体位的病例应予以考虑。
