飞秒激光辅助白内障手术治疗合并白内障的有晶状体眼人工晶状体植入术

Femtosecond Laser-Assisted Cataract Surgery in Phakic Intraocular Lens With Cataract.

作者信息

Kaur Manpreet, Sahu Suman, Sharma Namrata, Titiyal Jeewan S

出版信息

J Refract Surg. 2016 Feb;32(2):131-4. doi: 10.3928/1081597X-20160106-01.

DOI:10.3928/1081597X-20160106-01

PMID:26856431

Abstract

PURPOSE

To report two cases of cataract with phakic intraocular lens (PIOL) in situ that underwent femtosecond laser-assisted cataract surgery (FLACS) along with PIOL explantation.

METHODS

Case reports.

RESULTS

The first case had an implantable collamer lens (ICL) in situ. A well-centered, circular femtosecond laser capsulotomy was achieved. Incomplete nucleotomy was noted due to the entrapment of cavitation bubbles beneath the ICL. Postoperative visual acuity was 20/20. The second case had a rigid iris-claw PIOL in situ. Successful femtosecond laser-assisted capsulotomy and nuclear fragmentation were achieved. The PIOL was disenclavated temporally and displaced inferiorly followed by completion of phacoemulsification. The PIOL was explanted at the end of surgery by enlarging the temporal incision. Postoperative uncorrected visual acuity was 20/32.

CONCLUSIONS

The femtosecond laser can be used to create a capsulotomy and nuclear fragmentation through both anterior and posterior chamber PIOLs.

摘要

目的

报告两例有晶状体眼人工晶状体（PIOL）在位的白内障患者接受飞秒激光辅助白内障手术（FLACS）并取出PIOL的病例。

方法

病例报告。

结果

第一例患者有一枚可植入式Collamer晶状体（ICL）在位。成功完成了居中的圆形飞秒激光晶状体囊切开术。由于ICL下方空化气泡的截留，发现核切割不完全。术后视力为20/20。第二例患者有一枚硬性虹膜爪型PIOL在位。成功完成了飞秒激光辅助晶状体囊切开术和核碎裂。PIOL在颞侧脱离并向下移位，随后完成超声乳化。手术结束时通过扩大颞侧切口取出PIOL。术后未矫正视力为20/32。