Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
J Cataract Refract Surg. 2019 Jan;45(1):94-100. doi: 10.1016/j.jcrs.2018.09.015. Epub 2018 Nov 30.
The treatment of choice for cases of corneal opacity with significant cataract is often a triple procedure. However, in certain situations the chances of graft survival are poor, for example in cases with deep vascularization, secondary glaucoma, and healed viral keratitis. Under these circumstances, performing cataract surgery only might improve the visual acuity enough to maintain the patient's day-to-day activities. Performing cataract surgery, especially phacoemulsification, in these cases is challenging. Proper case selection, choosing the right technique, and a thorough idea about the difficulties and methods of tackling such cases is paramount to achieving optimum visual outcomes. In this review, we discuss the case selection and surgical modifications of performing phacoemulsification in cases with coexisting corneal opacities.
对于伴有明显白内障的角膜混浊病例，治疗选择通常是三联手术。然而，在某些情况下，移植物的存活率较低，例如在血管化深、继发青光眼和病毒性角膜炎愈合的情况下。在这些情况下，仅进行白内障手术可能会提高视力，足以维持患者的日常活动。在这些情况下进行白内障手术，特别是超声乳化术，具有挑战性。适当的病例选择、选择正确的技术以及充分了解处理此类病例的困难和方法对于获得最佳的视觉效果至关重要。在这篇综述中，我们讨论了在伴有角膜混浊的情况下进行超声乳化术的病例选择和手术改良。
