飞秒激光辅助白内障手术后早期后囊膜混浊发生率高。
High Rate of Early Posterior Capsule Opacification following Femtosecond Laser-Assisted Cataract Surgery.
作者信息
Rostami Benjamin, Tian Jack, Jackson Nicholas, Karanjia Rustum, Lu Kenneth
机构信息
Doheny Eye Center, Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, Calif., USA.
Division of General Internal Medicine and Health Services Research, Department of Medicine Statistics Core, David Geffen School of Medicine at UCLA, Los Angeles, Calif., USA.
出版信息
Case Rep Ophthalmol. 2016 Oct 11;7(3):213-217. doi: 10.1159/000449124. eCollection 2016 Sep-Dec.
Abstract
PURPOSE
To compare the rates of rapid posterior capsule opacification (PCO) formation in the first 3 months following femtosecond laser-assisted cataract surgery (FLACS) to manual anterior capsulorhexis.
METHODS
Retrospective review of 29 cases of FLACS, comparing the rates of PCO in the first 3 months following surgery to 50 consecutive cases of manual anterior capsulorhexis.
RESULTS
Seven of the 29 FLACS cases developed PCO requiring capsulotomy at 3 months, while none of the control cases required a capsulotomy over the same time period (p < 0.05).
CONCLUSION
There is an increased incidence of early-onset PCO following the use of femtosecond laser in cataract surgery that is otherwise unfounded in manual capsulorhexis. This suggests that the use of a femtosecond laser could increase the risk of this novel postoperative complication.
摘要
目的
比较飞秒激光辅助白内障手术（FLACS）后前3个月与手法撕囊术后后囊膜混浊（PCO）快速形成的发生率。
方法
回顾性分析29例飞秒激光辅助白内障手术病例，将术后前3个月的PCO发生率与50例连续的手法撕囊病例进行比较。
结果
29例飞秒激光辅助白内障手术病例中有7例在3个月时发生PCO需要行囊切开术，而同期对照病例均无需行囊切开术（p<0.05）。
结论
白内障手术中使用飞秒激光后早发性PCO的发生率增加，而手法撕囊则无此情况。这表明使用飞秒激光可能会增加这种新的术后并发症的风险。
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