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飞秒激光辅助白内障手术中用于保护角膜内皮细胞的孤立连续环形撕囊瓣技术

Isolated Capsulorhexis Flap Technique in Femtosecond Laser-Assisted Cataract Surgery to Protect the Corneal Endothelial Cells.

作者信息

Li Shaowei, Chen Xu, Zhao Jun, Xu Man, Yu Zhouxing

机构信息

a Aier School of Ophthalmology, Central South University , Changsha , China.

b Beijing Aier-Intech Eye Hospital , Beijing , China.

出版信息

J Invest Surg. 2019 Jan;32(1):35-38. doi: 10.1080/08941939.2017.1372537. Epub 2017 Dec 18.

DOI:10.1080/08941939.2017.1372537
PMID:29252045
Abstract

PURPOSE

To present a novel technique that using capsulorhexis flap to protect corneal endothelial cells during femtosecond laser-assisted cataract surgery.

METHODS

During the procedure, an isolated capsulorhexis flap was used to lift it up carefully by using OVD until the flap attached to the corneal inner layer. It kept steady during the phaco phase, and been removed by I/A tip after intraocular lens implantation.

RESULTS

In our pilot study, the damage to the corneal endothelial cells from the phacoemulsification procedure were no more than the traditional phaco procedure, even femtosecond laser assisted cataract surgery.

CONCLUSION

Isolated capsulorhexis flap technique initiate a new approach to protect the endothelial cell. It is a simple technique with a short learning curve, but still need a further investigation to prove the protection of corneal endothelial cells.

摘要

目的

介绍一种在飞秒激光辅助白内障手术中使用撕囊瓣保护角膜内皮细胞的新技术。

方法

在手术过程中,使用一个分离的撕囊瓣,通过粘弹剂小心地将其提起,直到瓣附着于角膜内层。在超声乳化阶段它保持稳定,并在人工晶状体植入后通过注吸头将其移除。

结果

在我们的初步研究中,超声乳化手术对角膜内皮细胞的损伤不超过传统超声乳化手术,甚至不超过飞秒激光辅助白内障手术。

结论

分离撕囊瓣技术开创了一种保护内皮细胞的新方法。这是一种简单且学习曲线短的技术,但仍需要进一步研究来证实对角膜内皮细胞的保护作用。

相似文献

1
Isolated Capsulorhexis Flap Technique in Femtosecond Laser-Assisted Cataract Surgery to Protect the Corneal Endothelial Cells.飞秒激光辅助白内障手术中用于保护角膜内皮细胞的孤立连续环形撕囊瓣技术
J Invest Surg. 2019 Jan;32(1):35-38. doi: 10.1080/08941939.2017.1372537. Epub 2017 Dec 18.
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Mechanical protective effect of lens anterior capsule disc on corneal endothelial cells during femtosecond laser-assisted cataract surgery in a rabbit model.飞秒激光辅助白内障手术中晶状体前囊膜盘对兔模型角膜内皮细胞的机械保护作用。
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Femtosecond laser versus manual clear corneal incision in cataract surgery.飞秒激光与白内障手术中的手动透明角膜切口。
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Central corneal volume and endothelial cell count following femtosecond laser-assisted refractive cataract surgery compared to conventional phacoemulsification.飞秒激光辅助的屈光性白内障手术与传统超声乳化白内障吸除术后中央角膜体积和内皮细胞计数的比较。
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Effectiveness and safety of femtosecond laser-assisted lens fragmentation and anterior capsulotomy versus the manual technique in cataract surgery.飞秒激光辅助晶状体粉碎术和前囊切开术与白内障手术中手动技术的有效性和安全性比较。
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[Results of hybrid (femtosecond laser-assisted) phacoemulsification of hypermature cataract in patients with lens subluxation].[晶状体半脱位患者超成熟白内障的混合(飞秒激光辅助)超声乳化手术结果]
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Standard manual capsulorhexis / Ultrasound phacoemulsification compared to femtosecond laser-assisted capsulorhexis and lens fragmentation in clear cornea small incision cataract surgery.标准手动撕囊术/超声乳化白内障吸除术与飞秒激光辅助撕囊术和晶状体粉碎术在透明角膜小切口白内障手术中的比较。
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Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: outcomes and safety in more than 4000 cases at a single center.飞秒激光辅助白内障手术与标准超声乳化白内障手术:单中心4000余例病例的手术效果与安全性
J Cataract Refract Surg. 2015 Jan;41(1):47-52. doi: 10.1016/j.jcrs.2014.06.025. Epub 2014 Nov 11.

引用本文的文献

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Subnuclear Phacoemulsification to Reduce Corneal Injury in Nuclear Cataract Surgery: Evidence From a Randomized Controlled Trial.核内超声乳化术减少核性白内障手术中角膜损伤:一项随机对照试验的证据
J Ophthalmol. 2025 Mar 18;2025:1737599. doi: 10.1155/joph/1737599. eCollection 2025.
2
The use of lens anterior capsule disc for corneal endothelium protection during femtosecond laser-assisted cataract surgery in eyes with low endothelial cell density.低内皮细胞密度眼飞秒激光辅助白内障手术中使用晶状体前囊盘保护角膜内皮。
Adv Ophthalmol Pract Res. 2024 Feb 28;4(2):65-68. doi: 10.1016/j.aopr.2024.02.002. eCollection 2024 May-Jun.
3
Mechanical protective effect of lens anterior capsule disc on corneal endothelial cells during femtosecond laser-assisted cataract surgery in a rabbit model.
飞秒激光辅助白内障手术中晶状体前囊膜盘对兔模型角膜内皮细胞的机械保护作用。
BMC Ophthalmol. 2023 Apr 19;23(1):166. doi: 10.1186/s12886-023-02918-0.