同时的皮质体和白内障移除与光调节透镜植入植入
Erik Navas-Villar1, Javier Jáuregui-Aguirre, Diego Melo-Orta
1Anterior Segment and Refractive Surgery Service, CODET Vision Institute, Tijuana, Baja California, Mexico.
Journal of cataract and refractive surgery
|August 4, 2025
概括
与光调节性透镜 (LAL) 植入的同时进行膜和白内障手术提供了出色的视觉结果. 这种综合方法是分阶段手术的可行替代方案,特别是对于面临后勤或财务挑战的患者.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 白内障手术 手术 白内障手术
背景情况:
- 和白内障往往需要手术干预.
- 传统的治疗包括分阶段的手术,造成后勤和财务负担.
- 联合手术为需要两种手术的患者提供了一种简化方法.
研究的目的:
- 为了评估同时进行膜和白内障手术的折射和视觉结果.
- 在这种联合手术中评估光调节透镜 (LAL) 植入的疗效.
- 为传统的两阶段手术方法提供一个单阶段的替代方案.
主要方法:
- 对14名患者的18只眼睛进行了回顾性分析,这些患者同时接受了膜切除,白内障提取和LAL植入.
- 术后的LAL调整使用光输送装置 (LDD) 进行折射校正.
- 在基线和随访时测量视敏度,明显折射和角膜纹.
主要成果:
- 折射结果显著改善,平均球体等价值 (SEQ) 在三个月后为-0.29 D.
- 高度达到折射率目标:50%的SEQ<0.25 D和83%的SEQ<0.5 D.
- 平均未经校正的距离视力敏度 (UCDVA) 改善至LogMAR 0.096,折射性白症显著减少.
结论:
- 与LAL植入器同时进行流和白内障手术,可以获得出色的折射和视觉效果.
- 手术后的LAL调整有效地管理与结相关的角膜纹症.
- 这种综合方法是分阶段手术的可行和有益的替代方案,特别是对于有限制的患者.
相关概念视频
Angle Closure Glaucoma: Treatment
684
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
684
Open Angle Glaucoma: Treatment
570
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
570


