Yamazaki Kenichiro, Yoneyama Junko, Hayashi Takahiko, Kimoto Ryuta, Shibata Yuko, Mimura Tatsuya
Omiya Nanasato Eye Institute, Saitama City, Japan.
Department of Ophthalmology, Yokohama Minami Kyosai Hospital, Yokohama City, Japan.
Case Rep Ophthalmol. 2021 Jan 11;12(1):41-47. doi: 10.1159/000510346. eCollection 2021 Jan-Apr.
We retrospectively evaluated the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) for cataracts due to atopic dermatitis, which are often complicated by intumescent white cataract (IWC) and subcapsular fibrosis. Thirty-seven eyes of 30 cataract patients diagnosed with atopic dermatitis were included in the study. Nine eyes had IWC, and 13 eyes had anterior subcapsular fibrosis characteristic of atopic cataracts. Free-floating capsulotomy was achieved in 32 eyes (86%). Three eyes with fibrosis extending across the line of capsulotomy required manual excision. Incomplete capsulotomies due to anterior capsular tags were present in 4 eyes in the IWC group, which was significantly higher compared to non-IWC cases ( < 0.05). Radial anterior capsular tear, vitreous loss, and intraocular lens dislocation did not occur in any of the cases. FLACS can be performed safely in atopic cataract despite the presence of anterior subcapsular fibrosis and/or IWC.
我们回顾性评估了飞秒激光辅助白内障手术（FLACS）治疗特应性皮炎所致白内障的疗效和安全性，此类白内障常并发肿胀性白色白内障（IWC）和囊下纤维化。本研究纳入了30例诊断为特应性皮炎的白内障患者的37只眼。9只眼患有IWC，13只眼具有特应性白内障特征性的前囊下纤维化。32只眼（86%）实现了游离撕囊。3只纤维化延伸至撕囊线以外的眼睛需要手动切除。IWC组有4只眼因前囊膜标签导致撕囊不完全，与非IWC病例相比显著更高（<0.05）。所有病例均未发生放射状前囊膜撕裂、玻璃体丢失和人工晶状体脱位。尽管存在前囊下纤维化和/或IWC，FLACS在特应性白内障手术中仍可安全进行。
