Black Sondra
Crystal Clear Vision, Toronto, Ont., Canada.
Case Rep Ophthalmol. 2016 Oct 11;7(3):193-197. doi: 10.1159/000450675. eCollection 2016 Sep-Dec.
As our baby boomer population is aging and developing cataracts, so are our post-LASIK patients. These patients underwent LASIK surgery as they wished to be spectacle-free and are hoping to remain so after intraocular lens (IOL) surgery. Unfortunately, very little information is available regarding the suitability of presbyopia correcting IOLs for post-LASIK patients. This case represents successful implantation of an extended range of vision IOL in a 59-year-old patient who underwent multifocal ablation excimer laser surgery 12 years before. Emmetropia was targeted for the dominant eye and -0.5 D for the fellow eye. The 13 month follow-up after bilateral implantation of the TECNIS Symfony IOL revealed an uncorrected visual acuity of 20/25 for distance, 20/20 for intermediate and 20/16 for near. The patient is very happy and did not report any visual symptoms when asked. This successful case should encourage surgeons to consider implanting an extended range of vision IOLs in post-LASIK patients.
随着婴儿潮一代人口老龄化并患上白内障，接受过准分子激光原位角膜磨镶术（LASIK）的患者也出现了同样的情况。这些患者接受LASIK手术是因为他们希望摆脱眼镜，并且希望在人工晶状体（IOL）手术后仍能保持这种状态。不幸的是，关于老视矫正IOL对LASIK术后患者的适用性，目前可获得的信息非常少。本病例展示了在一名59岁患者中成功植入扩展视力范围IOL的情况，该患者在12年前接受了多焦点消融准分子激光手术。主眼目标为正视，另一只眼为-0.5 D。双侧植入TECNIS Symfony IOL后13个月的随访显示，远距离未矫正视力为20/25，中距离为20/20，近距离为20/16。患者非常满意，在询问时未报告任何视觉症状。这个成功案例应鼓励外科医生考虑为LASIK术后患者植入扩展视力范围的IOL。
