飞秒激光辅助白内障手术在有折叠式前房或后房有晶状体眼内人工晶状体的眼中的应用。

Femtosecond laser-assisted cataract surgery in eyes with foldable anterior or posterior chamber phakic intraocular lenses.

机构信息

From the Department of Ophthalmology (Kohnen, Steinwender), Goethe University, Frankfurt, Germany; the Department of Ophthalmology (Steinwender), Medical University of Graz, Graz, Austria.

出版信息

J Cataract Refract Surg. 2018 Feb;44(2):124-128. doi: 10.1016/j.jcrs.2017.11.003.

DOI:10.1016/j.jcrs.2017.11.003

PMID:29587969

Abstract

We describe a technique for the application of femtosecond laser-assisted cataract surgery in eyes with cataract and previous implantation of a foldable anterior or posterior chamber phakic intraocular lens (pIOL). In 2 eyes with an anterior chamber pIOL (angle-supported Acrysof Cachet) and 3 eyes with a posterior chamber pIOL (2 eyes with an Implantable Collamer Lens pIOL; 1 eye with a Phakic Refractive Lens), a femtosecond laser was used to create a capsulotomy, perform lens fragmentation, and create corneal incisions with the pIOL in situ. In all cases, the capsulotomy was created successfully. Lens fragmentation was complete in 4 eyes and incomplete in 1 eye, where trapped cavitation bubbles in the space between the posterior chamber pIOL and anterior lens capsule were evident as a result of a shallow vault of the pIOL.

摘要

我们描述了一种在白内障合并先前植入折叠式前房或后房有晶状体眼人工晶状体（pIOL）的眼中应用飞秒激光辅助白内障手术的技术。在 2 只前房 pIOL（角支撑型 Acrysof Cachet）和 3 只后房 pIOL（2 只可植入 Collamer 透镜 pIOL；1 只 Phakic 屈光性晶状体）眼中，使用飞秒激光制作囊袋切开术，进行晶状体粉碎，并在原位制作角膜切口。在所有情况下，均成功地完成了囊袋切开术。4 只眼的晶状体粉碎完全，1 只眼的晶状体粉碎不完全，这是由于后房 pIOL 和前晶状体囊之间的空间中存在被困的空化气泡，导致 pIOL 的拱顶较浅。