超声乳化白内障吸除联合虹膜固定型有晶状体眼人工晶状体取出术后两年的结果。
Two-year results after combined phacoemulsification and iris-fixated phakic intraocular lens removal.
机构信息
Department of Ophthalmology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Department of Radiology, C.J. Gorter Center for High-Field MRI, Leiden University Medical Center, Leiden, The Netherlands.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2022 Apr;260(4):1367-1375. doi: 10.1007/s00417-021-05442-3. Epub 2021 Oct 16.
PURPOSE
To describe and present results after a technique for cataract surgery combined with explantation of an iris-fixated phakic intraocular lens (IF-pIOL).
METHODS
The medical records of all patients, who had undergone cataract surgery combined with IF-pIOL explantation and subsequent implantation of a posterior chamber IOL by the Single Incision Technique (SIT), were reviewed. Data collection included preoperative and postoperative corrected distance visual acuity (CDVA), manifest refraction, and endothelial cell density (ECD) up to a follow-up time of 24 months.
RESULTS
Fifty myopic eyes (34 patients) and 9 hyperopic eyes (6 patients) had undergone a SIT procedure mainly because of cataract (67%). Postoperative CDVA improved in both the myopic eyes to 0.16 ± 0.37 logMAR, as in the hyperopic eyes to - 0.10 ± 0.55 logMAR with no eyes having loss of Snellen lines. Mean postoperative spherical equivalent was - 0.34 ± 0.72 D and - 0.10 ± 0.55 D, respectively. ECD loss 6 months after surgery was 5% and remained stable thereafter.
CONCLUSION
SIT for combined phacoemulsification and IF-pIOL removal yields good visual and refractive results and is a safe procedure in regard to ECD loss. The technique has advantages over the conventional procedure and is easy to perform.
目的
描述并展示白内障超声乳化联合虹膜固定型有晶状体眼人工晶状体（IF-pIOL）摘除术的一种技术的结果。
方法
回顾所有接受白内障超声乳化联合 IF-pIOL 摘除术，随后采用单切口技术（SIT）植入后房人工晶状体的患者的病历。数据收集包括术前和术后的矫正远视力（CDVA）、明显屈光和内皮细胞密度（ECD），随访时间长达 24 个月。
结果
50 只近视眼（34 例）和 9 只远视眼（6 例）主要因白内障（67%）接受了 SIT 手术。近视眼术后 CDVA 提高到 0.16±0.37 logMAR，远视眼提高到-0.10±0.55 logMAR，无一例视力丧失。术后平均等效球镜度分别为-0.34±0.72 D 和-0.10±0.55 D。术后 6 个月 ECD 损失 5%，此后保持稳定。
结论
SIT 用于联合超声乳化白内障吸出术和 IF-pIOL 取出术可获得良好的视力和屈光效果，并且在 ECD 损失方面是一种安全的手术。该技术优于传统手术，易于操作。
Zotero 插件