Precision Pulse Capsulotomy During Combined Penetrating Keratoplasty With Cataract Surgery and Intraocular Lens in Small Nondilating Pupil.

Eye & Contact Lens Pub Date : 2021-04-01 DOI:10.1097/ICL.0000000000000734

Bhupesh Singh, Sourabh Sharma, Neha Bharti, Sudhank Bharti

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引用次数: 3

Abstract

Objective: To demonstrate precision pulse capsulotomy (PPC) in an open-sky procedure and to evaluate its use during triple procedure keratoplasty in small nondilating pupils.

Methods: This single-center retrospective case series study included 10 eyes (from 10 patients) with corneal opacity and poorly dilated pupils who were scheduled to undergo triple procedure keratoplasty. The main outcome measures were capsulotomy performance of the PPC device and intraoperative complications. Secondary outcome measures included postoperative best-corrected visual acuity, intraocular pressure, and other postoperative complications.

Results: Complete free-floating capsulotomy was achieved in all 10 eyes. There were no cases of anterior capsule tears or tags. There were no postoperative complications that occurred in association with the PPC device.

Conclusions: The PPC device facilitates creation of a smooth, round, and appropriately sized anterior capsulotomy in open-sky surgeries, particularly in presence of small nondilating pupils.

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精准脉冲包膜切开术在小瞳孔不扩张的穿透性角膜移植联合白内障手术和人工晶状体中的应用。

目的:探讨精确脉冲包膜切开术(PPC)在开放式手术中的应用，并评价其在小瞳孔非扩大手术中的应用价值。方法:这项单中心回顾性病例系列研究包括10例角膜混浊和瞳孔扩大不良的患者的10只眼，这些患者计划接受三联角膜移植术。主要观察指标为PPC装置的囊膜切开性能及术中并发症。次要指标包括术后最佳矫正视力、眼压和其他术后并发症。结果:10只眼均成功完成游离囊切除术。无前囊撕裂或标签病例。没有发生与PPC装置相关的术后并发症。结论:PPC装置有助于在露天手术中形成光滑、圆形和适当大小的前囊切开术，特别是在存在小的非扩张瞳孔的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Eye & Contact Lens

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