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诊断成像与手术比较:免缝线巩膜固定型人工晶状体植入术的术中及术后 OCT 评估及其可能相关的并发症。

Diagnostic imaging versus surgical procedure: intra- and postoperative OCT evaluation of sutureless scleral-fixated intraocular lens implantation and possible related complications.

机构信息

Institute of Ophthalmology, Department of Surgical Sciences, University of Turin, Via Cherasco, 23 10126, Turin, Italy.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2021 Oct;259(10):2869-2878. doi: 10.1007/s00417-021-05087-2. Epub 2021 Mar 12.

Abstract

Because the popularity of corneal refractive surgery has been increasing throughout the last 25 years, many authors have thought to apply optical coherence tomography (OCT) to the anterior segment (AS-OCT); by revising the instrumentation needed and slightly improve the technique, it has become an element of vital importance in order to ensure a complete and exhaustive pre- and postsurgical evaluation. Many applications of OCT have been recently developed-mostly in cataract surgery due to the increasing numbers-such as chamber biometry, which is used in a preoperative stage to determine the details of IOL implantation, and lens evaluation. The aim of this review is to assess the applications of anterior segment OCT in dislocated IOL and/or capsular bag exchange surgery with scleral sutureless fixated intraocular lens and monitoring of possible postoperative complications.

摘要

由于角膜屈光手术在过去 25 年中的普及程度不断提高,许多作者已经开始将光学相干断层扫描(OCT)应用于眼前段(AS-OCT);通过修改所需的仪器并略微改进技术,它已成为确保全面详尽的术前和术后评估的重要因素。最近已经开发出许多 OCT 的应用程序-由于数量的增加,主要在白内障手术中,例如房水生物测量,该技术在术前阶段用于确定 IOL 植入的细节,以及晶状体评估。本文旨在评估眼前段 OCT 在脱位的 IOL 和/或囊袋交换手术中的应用,这些手术采用巩膜无缝线固定的人工晶状体,并监测可能发生的术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d503/8478734/a7749981751b/417_2021_5087_Fig1_HTML.jpg

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