From the Department of Ophthalmology (Jabbur, Awwad, Bashshur), American University of Beirut Medical Center, and the Department of Ophthalmology (Jabbur), Clemenceau Medical Center, Beirut, Lebanon.
From the Department of Ophthalmology (Jabbur, Awwad, Bashshur), American University of Beirut Medical Center, and the Department of Ophthalmology (Jabbur), Clemenceau Medical Center, Beirut, Lebanon.
J Cataract Refract Surg. 2017 Apr;43(4):570-571. doi: 10.1016/j.jcrs.2017.03.001.
Twenty-one months after successful small-aperture corneal inlay (Kamra) implantation simultaneous with myopic laser in situ keratomileusis, a patient presented with a superior rhegmatogenous macula-involving retinal detachment. Successful pars plana vitrectomy, transscleral cryotherapy, and gas tamponade were performed with the inlay in situ. Three months later, uneventful phacoemulsification and posterior chamber intraocular lens implantation were performed, also with the inlay in situ, for a visually significant cataract. Visualization of the central and peripheral retina and the anterior segment was possible in both procedures through the central aperture and around the periphery of the inlay. An indirect noncontact visualization system was helpful in the retinal surgery, and rotating the eye was helpful in both surgeries if the inlay blocked visualization.
患者成功接受小切口角膜镶嵌术（Kamra）联合近视激光原位角膜磨镶术 21 个月后，出现上方孔源性黄斑区视网膜脱离。术中原位行巩膜外冷凝和硅油填充术。3 个月后，术中原位行白内障超声乳化术和后房型人工晶状体植入术，解决明显的白内障问题。两次手术均通过中央孔和周边的角膜镶嵌术达到对中央和周边视网膜及前段的可视化。间接非接触可视化系统有助于视网膜手术，术中旋转眼球有助于解决角膜镶嵌术阻挡视野的问题。
