Wang Wei, Ni Shuang, Li Xi, Chen Xiang, Zhu Yanan, Xu Wen
Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, No.88 Jiefang Road, Hangzhou, China.
BMC Ophthalmol. 2018 Jul 3;18(1):160. doi: 10.1186/s12886-018-0834-y.
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).
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.
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.
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。
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。
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。
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