Frisina Rino, Besozzi Gianluca, Gius Irene, Greggio Angelo, De Salvo Gabriella, Meduri Alessandro
Department of Ophthalmology, University of Padova, Padua, Italy.
Department of Ophthalmology, Vito Fazzi Hospital, Lecce, Italy.
Ophthalmol Ther. 2022 Dec;11(6):1951-1959. doi: 10.1007/s40123-022-00570-3. Epub 2022 Sep 16.
This commentary describes steps in ocular reconstruction surgery following ocular globe injuries in both the anterior and posterior segment causing corneal opacity and aphakia. The authors propose to reorder the sequence of surgical manoeuvres during pars plana vitrectomy combined with keratoplasty and aphakia treatment without capsular support and highlight the advantages in the choice of the intraocular lens to implant. A mental outline of all surgical manoeuvres, being aware of the complications that can arise during surgery and knowing the long-term benefits of making more careful choices, can make this surgery more effective and safer.
本评论描述了眼球前段和后段受伤导致角膜混浊和无晶状体眼后眼重建手术的步骤。作者建议在玻璃体切割联合角膜移植及无囊膜支撑的无晶状体眼治疗过程中重新安排手术操作顺序,并强调了选择植入人工晶状体的优势。清楚所有手术操作流程,意识到手术中可能出现的并发症,并且了解更谨慎选择所带来的长期益处,这样可以使该手术更有效且更安全。