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伊朗一家私人诊所飞秒激光辅助白内障手术的初步结果

Preliminary Results of Femtosecond Laser-assisted Cataract Surgery in a Private Clinic in Iran.

作者信息

Nejat Farhad, Sarahati Sara, Nobari Sahar Mojaled, Jadidi Khosrow, Naderi Mostafa, Nejat Mohammad Amin

机构信息

Vision Health Research Center, Bina Eye Hospital, Tehran, Iran.

Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Ophthalmic Vis Res. 2017 Jan-Mar;12(1):39-43. doi: 10.4103/jovr.jovr_70_16.

Abstract

PURPOSE

To report the preliminary results of femtosecond laser-assisted cataract surgery in Iranian patients.

METHODS

This prospective case series included 21 eyes of 21 patients with cataract. Mean patient age was 66.7 ± 10 years. The patients underwent femtosecond-laser assisted cataract surgery (VICTUS Femtosecond Laser Platform: Bausch + Lomb) and intraocular lens (IOL) implementation in Bina Eye Hospital, Tehran, Iran between May and October, 2014. Visual outcomes, intraocular pressure (IOP), and complications were evaluated three months after surgery.

RESULTS

Mean preoperative best-spectacle corrected visual acuity (BSCVA) was 0.40 ± 0.21 logMAR which significantly improved to 0.02 ± 0.03 logMAR three months postoperatively ( < 0.001). Mean preoperative IOP was 17.88 ± 2.70 mmHg which significantly decreased to 12.5 ± 1.51 mmHg three months after operation ( < 0.001). Mean duration of operation for these patients was 29.30 ± 8 minutes and mean femtosecond laser process time was 4.20 ± 2 minutes. In terms of complications, 9 patients developed fine subconjunctival hemorrhage and eye redness and 2 patients had mild corneal edema which all subsided within less than 7 days. Serious complications such as anterior or posterior capsule tears were not encountered.

CONCLUSION

Femtosecond laser-assisted cataract surgery is a relatively new method of cataract.

摘要

目的

报告飞秒激光辅助白内障手术在伊朗患者中的初步结果。

方法

该前瞻性病例系列纳入了21例白内障患者的21只眼。患者平均年龄为66.7±10岁。2014年5月至10月期间,这些患者在伊朗德黑兰的比纳眼科医院接受了飞秒激光辅助白内障手术(威视飞秒激光平台:博士伦)及人工晶状体植入。术后三个月评估视力结果、眼压(IOP)及并发症情况。

结果

术前平均最佳矫正视力(BSCVA)为0.40±0.21 logMAR,术后三个月显著提高至0.02±0.03 logMAR(<0.001)。术前平均眼压为17.88±2.70 mmHg,术后三个月显著降至12.5±1.51 mmHg(<0.001)。这些患者的平均手术时长为29.30±8分钟,平均飞秒激光操作时间为4.20±2分钟。在并发症方面,9例患者出现轻微结膜下出血和眼红,2例患者有轻度角膜水肿,均在7天内消退。未遇到诸如前囊或后囊撕裂等严重并发症。

结论

飞秒激光辅助白内障手术是一种相对较新的白内障手术方法。

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