Department of Ophthalmology, Hôpital Charles Nicolle, Rouen, France.
Department of Ophthalmology, Hôpital Charles Nicolle, Rouen, France.
J Cataract Refract Surg. 2019 Nov;45(11):1535-1538. doi: 10.1016/j.jcrs.2019.08.012. Epub 2019 Oct 3.
Phacoemulsification can be challenging in patients who are unable to lie flat or sit in a reclined position that exceeds 30 degrees to 45 degrees during surgery. We describe a new technique that we have used on 4 eyes of two patients. Both were operated on while sitting in a strictly upright position, resting their chin in front of a mobile slitlamp in the same manner as during a standard ophthalmologic examination. The surgeon sits on the other side of the slitlamp, facing the patient, and operates via a temporal corneal incision. The described operating conditions were deemed perfectly adequate by the experienced surgeon. Both patients recovered a corrected distance visual acuity of 20/20 in both eyes and said they would recommend this surgery to anyone who cannot lie flat. Surgeons should consider this technique when standard surgical positioning is not possible.
在手术过程中无法平卧或坐于 30 度至 45 度以上斜卧位的患者中，超声乳化术可能具有挑战性。我们描述了一种新的技术，该技术已应用于两位患者的 4 只眼中。两位患者均以严格的直立坐姿接受手术，下巴靠在移动裂隙灯前，就像在标准眼科检查中一样。外科医生坐在裂隙灯的另一侧，面对患者，并通过颞侧角膜切口进行操作。经验丰富的外科医生认为所描述的手术条件非常合适。两名患者双眼矫正视力均恢复至 20/20，并表示他们将向任何无法平卧的人推荐这种手术。当无法采用标准手术体位时，外科医生应考虑这种技术。
