Kymionis George D, Grentzelos Michael A, Kalyvianaki Maria I, Detorakis Efstathios T, Kounis George A, Tsilimbaris Miltiadis K, Pallikaris Ioannis G
Institute of Vision and Optics, Faculty of Medicine, University of Crete, Crete, Greece.
Semin Ophthalmol. 2009 Nov-Dec;24(6):231-3. doi: 10.3109/08820530903388751.
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.
Case report.
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.
Both procedures had similar visual outcomes. Furthermore, lower ECD was found in the AC-PIOL eye in comparison to the LASIK eye.
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。
病例报告。
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。
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。
