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大眼球前部的超声乳化白内障吸除术：用于人工晶状体居中的连续环形撕囊固定技术

Phacoemulsification in anterior megalophthalmos: rhexis fixation technique for intraocular lens centration.

作者信息

Jain Arun K, Nawani Nishant, Singh Ramandeep

机构信息

Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.

出版信息

Int Ophthalmol. 2014 Apr;34(2):279-84. doi: 10.1007/s10792-013-9784-9. Epub 2013 May 23.

DOI:10.1007/s10792-013-9784-9
PMID:23700153
Abstract

We describe phacoemulsification in both eyes of a patient with anterior megalophthalmos. Surgery in such cases can be challenging because of a deep anterior chamber, enlarged ciliary ring, weakened zonules, and large capsular bag. Phacoemulsification performed through a scleral tunnel resulted in a stable wound. We report the use of anterior optic capture technique (optic within the capsulorhexis margin, haptics in the sulcus) for successful intraocular lens implant centration.

摘要

我们描述了一位患有先天性大眼球患者双眼的超声乳化手术。由于前房深、睫状环扩大、悬韧带薄弱和晶状体囊袋大，此类病例的手术具有挑战性。通过巩膜隧道进行的超声乳化手术形成了稳定的伤口。我们报告了使用前光学捕获技术（撕囊边缘内的光学部，沟内的襻）成功实现人工晶状体植入的居中定位。

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Int Ophthalmol. 2014 Apr;34(2):279-84. doi: 10.1007/s10792-013-9784-9. Epub 2013 May 23.
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本文引用的文献

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Cataract surgery in megalocornea Comparison of 2 surgical approaches in a single patient.大角膜患者的白内障手术 单眼两种手术入路的比较
J Cataract Refract Surg. 2009 Dec;35(12):2042-6. doi: 10.1016/j.jcrs.2009.06.043.
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Megalocornea and bilateral developmental cataracts.巨角膜与双侧发育性白内障。
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Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations.白内障手术与先天性大眼球：定制人工晶状体及特殊注意事项
合并超声乳化白内障吸除术及前部玻璃体切割术治疗一例合并开角型青光眼和高度近视的前部大眼球症
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Ultrasound Biomicroscopy and Scheimpflug Imaging in Anterior Megalophthalmos: Changes Seen after Cataract Surgery.超声生物显微镜检查和眼前节分析系统在先天性大眼球中的应用：白内障手术后的变化
Case Rep Ophthalmol Med. 2015;2015:195950. doi: 10.1155/2015/195950. Epub 2015 May 7.
J Cataract Refract Surg. 2007 Dec;33(12):2147-50. doi: 10.1016/j.jcrs.2007.07.021.
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Phacoemulsification in anterior megalophthalmos.大眼球前部的超声乳化术。
J Cataract Refract Surg. 2006 Jul;32(7):1081-4. doi: 10.1016/j.jcrs.2005.12.143.
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Anterior megalophthalmos in a family with 3 female siblings.一个有3名女性同胞的家族中的先天性巨眼畸形。
J Cataract Refract Surg. 2005 Jul;31(7):1433-6. doi: 10.1016/j.jcrs.2004.11.057.
6
Cataract extraction in X-linked megalocornea: a case report.X连锁大角膜患者的白内障摘除术：一例报告
Cornea. 2004 Jul;23(5):533-5. doi: 10.1097/01.ico.0000114125.63670.94.
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Intraocular lens optic capture.人工晶状体光学部固定
J Cataract Refract Surg. 2004 Jan;30(1):200-6. doi: 10.1016/j.jcrs.2003.11.035.
8
Ciliary body dysplasia in megalophthalmos anterior diagnosed using ultrasound biomicroscopy.使用超声生物显微镜诊断的先天性青光眼睫状体发育异常。
Eye (Lond). 2002 Sep;16(5):638-9. doi: 10.1038/sj.eye.6700156.
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