在青光眼合并白内障手术中使用散光型人工晶状体和角膜缘松解切口治疗散光
Use of a Toric Intraocular Lens and a Limbal-Relaxing Incision for the Management of Astigmatism in Combined Glaucoma and Cataract Surgery.
作者信息
Gibbons Allister
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Naples, Fla., USA.
出版信息
Case Rep Ophthalmol. 2016 Feb 23;7(1):96-102. doi: 10.1159/000444213. eCollection 2016 Jan-Apr.
PURPOSE
We report the surgical management of a patient with glaucoma undergoing cataract surgery with high preexisting astigmatism. A combination of techniques was employed for her astigmatism management.
METHODS
A 76-year-old female with 5.5 dpt of corneal astigmatism underwent surgery in her left eye consisting of one-site trabeculectomy, phacoemulsification, toric intraocular lens implantation and a single inferior limbal-relaxing incision.
RESULTS
Intraocular pressure control was achieved with no medication at 11 mm Hg; before the filtering procedure, the pressure was 16 mm Hg on two topical drugs. Astigmatism was reduced to 0.75 dpt, and both corrected and uncorrected visual acuity improved.
CONCLUSIONS
Astigmatism management can have a good outcome in combined procedures. We encourage surgeons to address astigmatism in the preoperative planning of patients undergoing glaucoma surgery associated with phacoemulsification.
目的
我们报告了一位患有青光眼且术前散光度数较高的患者在接受白内障手术时的手术治疗情况。我们采用了多种技术相结合的方法来处理她的散光问题。
方法
一名角膜散光度数为5.5屈光度的76岁女性在左眼接受了手术，手术包括单点小梁切除术、超声乳化白内障吸除术、植入散光型人工晶状体以及单一的下方角膜缘松解切口。
结果
眼压在未使用药物的情况下控制在11毫米汞柱；在进行滤过手术前，使用两种局部药物时眼压为16毫米汞柱。散光度数降至0.75屈光度，矫正视力和未矫正视力均有所提高。
结论
在联合手术中，散光处理可以取得良好的效果。我们鼓励外科医生在为接受与超声乳化白内障吸除术相关的青光眼手术的患者进行术前规划时，考虑散光问题。
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