散光型人工晶状体在DMEK与白内障联合手术中的应用
Toric IOL in Combined DMEK and Cataract Surgery.
作者信息
Trindade Bruno Lovaglio Cancado, Garcia Julia Costa, Nogueira Laila Rahme
机构信息
Cançado Trindade Eye Institute, Belo Horizonte, Brazil.
Medical Science School of Medicine - FELUMA, Belo Horizonte, Brazil.
出版信息
Clin Ophthalmol. 2021 Apr 13;15:1511-1516. doi: 10.2147/OPTH.S293086. eCollection 2021.
INTRODUCTION
Descemet membrane endothelial keratoplasty (DMEK) is the current gold standard surgical procedure to treat Fuchs endothelial keratoplasty. Cataract removal and intraocular lens (IOL) implantation can be safely combined with this corneal procedure. This paper presents a case series in which a toric intraocular lens (IOL) was used in combined DMEK and cataract surgery to correct corneal astigmatism.
METHODS
Four eyes that had a toric IOL implanted in combined cataract and DMEK surgery were included.
RESULTS
There was a reduction in manifest refractive cylinder and improvement in uncorrected and best-corrected vision in all cases.
DISCUSSION
Surgeons may consider the use of toric IOLs in selected cases of combined DMEK and cataract surgery for Fuchs endothelial dystrophy.
引言
Descemet膜内皮角膜移植术（DMEK）是目前治疗Fuchs内皮角膜营养不良的金标准手术方法。白内障摘除和人工晶状体（IOL）植入可安全地与该角膜手术联合进行。本文介绍了一组病例，其中在DMEK联合白内障手术中使用了散光人工晶状体（IOL）来矫正角膜散光。
方法
纳入4只在白内障和DMEK联合手术中植入散光IOL的眼睛。
结果
所有病例的明显屈光柱镜度数均降低，未矫正视力和最佳矫正视力均有改善。
讨论
对于Fuchs内皮营养不良患者，在DMEK联合白内障手术的特定病例中，外科医生可考虑使用散光IOL。
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