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飞秒激光辅助的穿透性角膜移植联合手法碎核白内障摘除人工晶状体植入术

秦勤 鲍连云 陈晖 李一壮

临床眼科杂志2016,Vol.24Issue(4):289-291,3.
临床眼科杂志2016,Vol.24Issue(4):289-291,3.DOI:10.3969/j.issn.1006-8422.2016.04.001

飞秒激光辅助的穿透性角膜移植联合手法碎核白内障摘除人工晶状体植入术

Femtosecond laser-assisted penetrating keratoplasty combines small incision manual nucleofragmentation and foldable intraocular lens implantation

秦勤 1鲍连云 1陈晖 1李一壮1

作者信息

  • 1. 210008 南京大学医学院附属鼓楼医院宁益眼科中心
  • 折叠

摘要

Abstract

Objective To study the indications, surgical technique and postoperative outcomes of femtosecond?laser-assisted penetrating keratoplasty combined with small incision manual nucleofragmentation and foldable intraocular lens implantation.Methods Six cases (6 eyes) with cataract and corneal diseases were treated with femtosecond laser-asssisted penetrating keratoplasty, small incision manual nucleofragmentation, and foldable intraocular lens implantation. Postoperative uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), intraocular pressure, corneal grafts, intraocular lens and anterior chamber reaction were observed.Follow up period was 9 months.Results Both UC-VA and BCVA improved in all patients.At 9 months after surgery, UCVA was better than 0.3 in 4 patients and was be-tween 0.2~0.3 in 2 patients.BCVA was higher than 0.5 in 5 patients and between 0.4~0.5 in 1 patient.Corneal graft was completely transparent at 7~14 days in 5 patients.In 1 patient, corneal edema was observed.All patients achieved complete transparence at 9 months.Intraocular pressure was normal, and lens position was correct in all patients.Conclu-sion For patients with coexisting cataract and corneal diseases, femtosecond laser-assisted penetrating keratoplasty com-bined with small incision manual nucleofragmentation and lens implantation will result in reduced trauma, shorter duration of recovery, better visual outcomes, and less complications.It is an effective and safe treatment for such patients.

关键词

飞秒激光/穿透性角膜移植/小切口手法碎核/人工晶状体

Key words

Femtosecond laser/Penetrating keratoplasty/Small incision manual nucleofragmentation/Intraocular lens

引用本文复制引用

秦勤,鲍连云,陈晖,李一壮..飞秒激光辅助的穿透性角膜移植联合手法碎核白内障摘除人工晶状体植入术[J].临床眼科杂志,2016,24(4):289-291,3.

临床眼科杂志

OACSTPCD

1006-8422

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