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虹膜-爪子 前腔室 面膜眼内透镜扩张:一个案例系列
Sofia Cunha Teixeira1, Pedro Martins1, Teresa Pacheco1
1Department of Opthalmology, Centro Hospitalar Vila Nova de Gaia, Espinho, Portugal.
Journal of current ophthalmology
|September 16, 2024
概括
面膜眼内透镜 (pIOL) 的扩张,通常是由于内皮细胞的损失,可以保持视力. 早期去除PIOLs可能会防止角膜移植的需要,但对患者进行一致的随访至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 眼内镜片 眼内镜片 眼内镜片
背景情况:
- 面膜眼内透镜 (pIOLs) 用于进行折射纠正.
- 与pIOLs相关的并发症需要监测和潜在的去除.
- 内皮细胞损失是影响角膜健康的一个重大问题.
研究的目的:
- 评价 phakic眼内透镜 (pIOL) 探索的指示,临床特征和结果.
- 在pIOL移除后分析视觉和折射结果.
- 确定影响PIOL分析后结果的关键因素.
主要方法:
- 进行了回顾性案例系列.
- 包括在2018年至2022年期间接受虹膜-爪子PIOL扩张的患者.
- 分析了适应症,患者人口统计和视觉结果.
主要成果:
- 来自14名患者的23只眼睛接受了PIOL扩展.
- 探索的主要指示是内皮细胞损失 (14只眼睛) 或显著的内皮细胞改变 (5只眼睛).
- 移植后,平均纠正视力为0.4 logMAR,约70%的人至少达到0.3 logMAR的视力敏度.
结论:
- 内皮细胞损失是PIOL去除的主要原因.
- 早期的PIOL扩张可以防止角膜移植.
- 失去随访仍然是管理PIOL并发症的一个重大挑战.
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