Lin Hui, Zhang Juan, Niu Guo-Zhen, Huang Xin-Yu, Zhang Yu-Shan, Liu Chun-Yu, Zheng Chang-Yue, Bi Yan-Long
Department of Ophthalmology, Tongji Hospital Affiliated with Tongji University School of Medicine, Shanghai 200065, China.
Int J Ophthalmol. 2019 Aug 18;12(8):1344-1347. doi: 10.18240/ijo.2019.08.17. eCollection 2019.
To evaluate the maneuverability and efficacy of phacoemulsification and intraocular lens (IOL) implantation in eyes with corneal opacities after deep anterior lamellar keratoplasty (DALK), twelve eyes of 12 patients with mild to moderate corneal opacities after DALK and coexisting cataracts were analyzed retrospectively. Phacoemulsification and IOL implantation assisted with anterior capsule staining, as well as non-invasive optical fiber illumination, were performed on all eyes. No intraoperative or postoperative complications were noted. Mean corrected distance visual acuity (logMAR) improved from 1.24±0.17 to 0.73±0.22. Post-phaco intraocular pressure was maintained between 13 to 20 mm Hg in all cases throughout the follow-up period. Mean endothelial cell density decreased from 2258.42±205.94 to 1906.25±174.23 cells/mm. Phacoemulsification and IOL implantation are safe and valid in eyes with mild to moderate corneal opacities after DALK and coexisting cataracts when assisted with anterior capsule staining and non-invasive optical fiber illumination.
为评估白内障超声乳化吸除联合人工晶状体（IOL）植入术在深板层角膜移植术（DALK）后角膜混浊眼中的可操作性及疗效，回顾性分析12例DALK术后合并轻度至中度角膜混浊及白内障患者的12只眼。所有患眼均行白内障超声乳化吸除联合IOL植入术，并辅助前囊染色及非侵入性光纤照明。未观察到术中或术后并发症。平均矫正远视力（logMAR）从1.24±0.17提高至0.73±0.22。在整个随访期间，所有病例的超声乳化吸除术后眼压维持在13至20 mmHg之间。平均内皮细胞密度从2258.42±205.94降至1906.25±174.23个/mm²。当辅助前囊染色及非侵入性光纤照明时，白内障超声乳化吸除联合IOL植入术在DALK术后合并轻度至中度角膜混浊及白内障的眼中是安全有效的。
