Dryjski Olivia, Awidi Abdelhalim, Daoud Yassine J
Cornea, Cataract, and Anterior Segment Division, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD, 21287, USA.
Faculty of Medicine, University of Jordan, Queen Rania Al Abdullah Street, Amman, 11942, Jordan.
Am J Ophthalmol Case Rep. 2019 Jun 6;15:100483. doi: 10.1016/j.ajoc.2019.100483. eCollection 2019 Sep.
To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules.
We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better.
FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.
探讨飞秒激光辅助白内障手术（FLACS）在悬韧带受损眼中的临床价值。
我们展示了两例悬韧带受损眼中的飞秒激光辅助白内障手术（FLACS）。两名患有悬韧带薄弱和白内障的患者的三只眼睛接受了FLACS（爱尔康LenSx激光公司，加利福尼亚州阿利索维耶霍）。一名患者在球形晶状体合并悬韧带薄弱的情况下接受了双侧FLACS。另一名患者患有马凡综合征并伴有晶状体异位。所有眼睛均成功进行了激光辅助晶状体囊切开术。一只眼睛在手术期间发生玻璃体脱出，需要进行虹膜缝合晶状体植入。所有眼睛术后矫正远视力均达到20/25或更好。
对于悬韧带薄弱的患者，FLACS是传统超声乳化白内障手术的一种安全有效的替代方法。
