在可调节光线的眼内透镜上进行Nd:YAG囊切除术的临床评估
Ashley A Abing1, Jimmy K Lee, Dan B Tran
1From the Coastal Vision Medical Group, Orange, California.
Journal of cataract and refractive surgery
|January 31, 2025
概括
新:YAG (Nd:YAG) 囊切除术对于使用可调光眼内透镜 (LALs) 的伪眼睛是安全有效的,即使在调整过程中出现后囊暗. 在这两组中,折射结果在手术后保持稳定.
科学领域:
- 眼科医生 眼科 眼科
- 医疗技术 医疗技术 医学技术
- 外科手术的结果
背景情况:
- 后囊化 (PCO) 是白内障手术后的一个常见并发症.
- 可调节光线的眼内透镜 (LALs) 在术后提供可调节的折射校正.
- 在调整期内,LAL患者的Nd:YAG囊切除术的安全性尚未得到充分证实.
研究的目的:
- 为了评估Nd:YAG囊切除术在假眼中使用LALs的安全性和折射结果.
- 为了比较 Nd:YAG 囊切除术在 LAL 光输送装置锁定治疗之前和之后进行时的结果.
主要方法:
- 一项回顾性研究比较了两组接受Nd:YAG囊切除的LAL患者.
- 第一组在锁定治疗之前进行了囊切除;第二组在治疗后进行了囊切除.
- 折射结果 (球体,圆柱体,轴,SE,UDVA,CDVA) 在手术前和后被分析.
主要成果:
- 在485个LAL植入物中,Nd:YAG囊切除术在38只眼睛 (2.6%) 中进行.
- 术后纠正远距离视力敏度 (CDVA) 在两组中都显著改善.
- 没有观察到球体,圆柱,轴,球体等效 (SE) 或未经纠正的远距离视力敏度 (UDVA) 的统计学意义上的变化.
结论:
- Nd:YAG囊切除术是LAL患者PCO的安全有效治疗方法.
- 该程序不会显著改变LAL眼睛的折射结果,无论与锁定治疗相比时间如何.
- LAL患者可以接受Nd:YAG囊切除术,而不会影响折射校正.
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