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前房有晶状体眼人工晶状体植入术单眼及对侧眼准分子原位角膜磨镶术术后15年随访

Fifteen-year follow-up after anterior chamber phakic intraocular lens implantation in one and LASIK in the fellow eye.

作者信息

Kymionis George D, Grentzelos Michael A, Kalyvianaki Maria I, Detorakis Efstathios T, Kounis George A, Tsilimbaris Miltiadis K, Pallikaris Ioannis G

机构信息

Institute of Vision and Optics, Faculty of Medicine, University of Crete, Crete, Greece.

出版信息

Semin Ophthalmol. 2009 Nov-Dec;24(6):231-3. doi: 10.3109/08820530903388751.

Abstract

PURPOSE

To report a patient fifteen years after anterior chamber phakic intraocular lens (AC-PIOL) implantation in one and laser in situ keratomileusis (LASIK) in the fellow eye.

METHODS

Case report.

RESULTS

A 56-year-old male underwent AC-PIOL implantation in one eye and LASIK in the fellow eye fifteen years ago. Preoperative uncorrected visual acuity (UCVA) was finger count in both eyes. Preoperative best spectacle-corrected visual acuity (BSCVA) was 20/25 (-16.75 -0.50 x 40) in the LASIK eye and 20/32 (-24.50 -0.50 x 90) in the AC-PIOL eye. Fifteen years postoperatively, UCVA was finger count in the LASIK eye and 20/200 in the AC-PIOL eye, while BSCVA was 20/32 and 20/25, respectively. Endothelial cell density (ECD) was 2020+/-47 in the LASIK eye and 945+/-22 in the AC-PIOL eye.

CONCLUSION

Both procedures had similar visual outcomes. Furthermore, lower ECD was found in the AC-PIOL eye in comparison to the LASIK eye.

摘要

目的

报告一例患者,其一只眼睛行前房有晶状体眼人工晶状体(AC-PIOL)植入术,另一只眼睛行准分子原位角膜磨镶术(LASIK),随访15年。

方法

病例报告。

结果

一名56岁男性15年前一只眼睛接受了AC-PIOL植入术,另一只眼睛接受了LASIK手术。术前双眼裸眼视力(UCVA)均为手动。术前LASIK眼最佳矫正视力(BSCVA)为20/25(-16.75 -0.50×40),AC-PIOL眼为20/32(-24.50 -0.50×90)。术后15年,LASIK眼UCVA为手动,AC-PIOL眼为20/200,而BSCVA分别为20/32和20/25。LASIK眼内皮细胞密度(ECD)为2020±47,AC-PIOL眼为945±22。

结论

两种手术的视力结果相似。此外,与LASIK眼相比,AC-PIOL眼的ECD较低。

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