Schweitzer Cedric, Tellouck Laury, Gaboriau Thibaut, Leger François
J Refract Surg. 2015 Mar;31(3):202-4. doi: 10.3928/1081597X-20150224-04.
To describe a new method to treat severe anterior capsule contraction using a femtosecond laser anterior capsulotomy.
Case report.
A 48-year-old woman with a history of myotonic dystrophy experienced a severe contraction of the anterior capsule following an uneventful phacoemulsification cataract surgery with a hydrophilic acrylic intraocular lens implanted in the capsular bag. A femtosecond laser anterior capsulotomy was performed using a non-applanating fluid-filled interface. The spectral-domain optical coherence tomography imaging system associated with the laser enabled precise centration and location of the capsulotomy with a posterior cut located between the anterior surface of the intraocular lens and the anterior capsule inner surface. The free-floating capsulotomy was easily removed after the laser procedure, and 8 days postoperatively visual acuity recovered and myopic shift regressed with an intraocular lens centered in the capsular bag.
Femtosecond laser assisted by a high-resolution imaging system appears to be a safe and efficient treatment for severe anterior capsule contraction.
描述一种使用飞秒激光前囊切开术治疗严重前囊收缩的新方法。
病例报告。
一名48岁有强直性肌营养不良病史的女性，在囊袋内植入亲水性丙烯酸人工晶状体的白内障超声乳化手术顺利完成后，出现了严重的前囊收缩。使用非压平的充满液体的界面进行飞秒激光前囊切开术。与激光相关的光谱域光学相干断层扫描成像系统能够精确地对前囊切开术进行定中心和定位，后切口位于人工晶状体前表面和前囊内表面之间。激光手术后，游离的前囊切开术碎片很容易被取出，术后8天视力恢复，近视漂移消退，人工晶状体位于囊袋中心。
在高分辨率成像系统辅助下的飞秒激光似乎是治疗严重前囊收缩的一种安全有效的方法。
