Department of Ophthalmology, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Eye (Lond). 2009 Jun;23(6):1345-8. doi: 10.1038/eye.2008.283. Epub 2008 Nov 14.
To describe a surgical technique as an alternative to allograft corneal transplantation for management of cases with cataract and corneal opacity.
Seven eyes of seven patients with adherent leucomas and cataract underwent phacoemulsification with intraocular lens (IOL) implantation. An automated vitrector was used to release the adherent leucoma and create an optical iridectomy at the start of surgery. Phacoemulsification with IOL implantation was performed in all eyes. The release of the iris adherence along with creation of an optical iridectomy improved visualization during phacoemulsification.
Phacoemulsification and IOL implantation could be performed successfully in all seven eyes. The median best-corrected visual acuity (BCVA) improved from 1/60 (range: (light perception) 6/36) preoperatively to 6/18 (range: 6/36-6/12) at last follow-up (average: 41 days).
This surgical technique is a viable option in cases with partial corneal opacification with coexisting cataract.
描述一种手术技术，作为同种异体角膜移植的替代方法，用于治疗白内障和角膜混浊的病例。
7 例 7 眼伴有粘连性白斑和白内障的患者接受了白内障超声乳化术联合人工晶状体（IOL）植入术。在手术开始时，使用自动玻璃体切割器松解粘连性白斑，并进行光学虹膜切除术。所有眼睛均进行白内障超声乳化术联合 IOL 植入术。松解虹膜粘连并进行光学虹膜切除术，改善了白内障超声乳化术过程中的可视化效果。
7 只眼中均成功完成白内障超声乳化术联合 IOL 植入术。最佳矫正视力（BCVA）从术前的 1/60（范围：光感 6/36）提高到末次随访时的 6/18（范围：6/36-6/12）（平均：41 天）。
对于伴有白内障的部分角膜混浊病例，这种手术技术是一种可行的选择。
