Ye Hehua, Zhang Jiming, Qian Yiyong
1 Department of Ophthalmology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, P. R. China.
2 Department of Ophthalmology, The First Affiliated Hospital of Soochow University, Suzhou, P. R. China.
J Int Med Res. 2018 Sep;46(9):3692-3697. doi: 10.1177/0300060518777652. Epub 2018 Jun 19.
Objective To investigate the long-term safety and efficacy of Nd:YAG laser anterior capsulotomy for the treatment of anterior capsular phimosis. Methods We retrospectively analyzed a consecutive case series of Nd:YAG laser anterior capsulotomy in patients with anterior capsular phimosis, who were treated between November 2012 and April 2014. Data collected included risk factors, interval between surgery and capsulotomy, best-corrected visual acuity (BCVA), and diameter of anterior capsule opening before and after Nd:YAG laser anterior capsulotomy. Results Eleven eyes of 11 patients were included in the study. The mean follow-up time was 30.1 ± 4.5 months (range: 26-42 months). At the last follow-up, the mean diameter of the anterior capsule opening was 5.1 ± 0.2 mm, which was significantly greater than the diameter before laser capsulotomy (2.2 ± 0.8 mm). BCVA remained stable or improved in nine eyes (81.8%) following capsulotomy. No patients experienced recurrence of phimosis. Conclusions In a long-term study of >2 years, we found that Nd:YAG laser anterior capsulotomy is safe and effective for the treatment of anterior capsule phimosis.
目的 探讨钕:钇铝石榴石（Nd:YAG）激光前囊切开术治疗前囊膜缩窄的长期安全性和有效性。方法 我们回顾性分析了2012年11月至2014年4月间接受Nd:YAG激光前囊切开术治疗的前囊膜缩窄患者的连续病例系列。收集的数据包括危险因素、手术与囊切开术之间的间隔、最佳矫正视力（BCVA）以及Nd:YAG激光前囊切开术前后前囊开口的直径。结果 11例患者的11只眼纳入研究。平均随访时间为30.1±4.5个月（范围：26 - 42个月）。在最后一次随访时，前囊开口的平均直径为5.1±0.2mm，显著大于激光囊切开术前的直径（2.2±0.8mm）。囊切开术后9只眼（81.8%）的BCVA保持稳定或提高。无患者出现缩窄复发。结论 在一项超过2年的长期研究中，我们发现Nd:YAG激光前囊切开术治疗前囊膜缩窄安全有效。
