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飞秒激光原位角膜磨镶术后行飞秒激光辅助白内障手术并植入衍射型三焦点人工晶状体：一例报告。

Femtosecond laser-assisted cataract surgery with implantation of a diffractive trifocal intraocular lens after laser in situ keratomileusis: a case report.

作者信息

Wang Wei, Ni Shuang, Li Xi, Chen Xiang, Zhu Yanan, Xu Wen

机构信息

Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, No.88 Jiefang Road, Hangzhou, China.

出版信息

BMC Ophthalmol. 2018 Jul 3;18(1):160. doi: 10.1186/s12886-018-0834-y.

DOI:10.1186/s12886-018-0834-y
PMID:29970067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6029048/
Abstract

BACKGROUND

We report for the first time, a case of femtosecond laser-assisted cataract surgery (FLACS) with implantation of a diffractive trifocal intraocular lens (IOL) after laser in situ keratomileusis (LASIK).

CASE PRESENTATION

A 60-year-old man underwent FLACS uneventfully 15 years after myopic LASIK. An AT Lisa tri 839MP IOL was implanted with the expectation of spectacle independence. The Haigis-L formula was chosen for calculation of the IOL power and it provided reliable results. Three months postoperatively, the uncorrected visual acuities were 0.00 logMAR for distance, 0.10 logMAR for intermediate, and 0.10 logMAR for near.

CONCLUSIONS

This case suggested that FLACS presents a feasible surgical technique for post-LASIK eyes and that implantation of trifocal IOL can achieve good visual performance in strictly selected cases after myopic LASIK.

摘要

背景

我们首次报告了一例在准分子原位角膜磨镶术（LASIK）后，采用飞秒激光辅助白内障手术（FLACS）并植入衍射三焦点人工晶状体（IOL）的病例。

病例介绍

一名60岁男性在近视LASIK手术15年后顺利接受了FLACS手术。植入了一枚AT Lisa tri 839MP人工晶状体，期望实现脱镜。选择Haigis-L公式计算人工晶状体度数，结果可靠。术后三个月，远距离未矫正视力为0.00 logMAR，中距离为0.10 logMAR，近距离为0.10 logMAR。

结论

该病例表明，FLACS是LASIK术后眼可行的手术技术，在严格选择的近视LASIK术后病例中，植入三焦点人工晶状体可获得良好的视觉效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/f16c193c75b7/12886_2018_834_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/ef8d79d20144/12886_2018_834_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/9404b07de99c/12886_2018_834_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/ae378d90a3a0/12886_2018_834_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/f16c193c75b7/12886_2018_834_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/ef8d79d20144/12886_2018_834_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/9404b07de99c/12886_2018_834_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/ae378d90a3a0/12886_2018_834_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdd/6029048/f16c193c75b7/12886_2018_834_Fig4_HTML.jpg

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J Cataract Refract Surg. 2017 Nov;43(11):1430-1435. doi: 10.1016/j.jcrs.2017.08.011.
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Visual performance after bilateral implantation of 2 new presbyopia-correcting intraocular lenses: Trifocal versus extended range of vision.双眼植入 2 种新的矫正老视的人工晶状体后的视觉性能：三焦点与扩展远视力。
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Femtosecond laser-assisted cataract surgery after penetrating keratoplasty: a case report.
穿透性角膜移植术后的飞秒激光辅助白内障手术：一例报告
BMC Ophthalmol. 2017 Jun 24;17(1):100. doi: 10.1186/s12886-017-0496-1.
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Clinical outcomes of femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery for hard nuclear cataracts.飞秒激光辅助白内障手术与传统超声乳化白内障吸除术治疗硬核白内障的临床疗效比较。
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