既往LASIK患者单侧扩大视野人工晶体植入术后视力恢复成功1例

M. Guarro, Idoia Goñi, S. López, S. Ruiz, D. Piñero
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引用次数: 0

摘要

一个病例44岁的男子接受白内障手术,因为眼外伤在他的右眼,其中一个无衍射的连续扩展视野人工晶状体(IOL)植入术描述。13年前曾行双侧近视激光原位角膜磨除术(扁圆形角膜轮廓)。术后3个月,未矫正的距离、中间和近视力分别为0.10、0.10和0.20 logMAR。在视觉功能问卷-25的大部分子量表中也观察到改善,其中驾驶、远距离活动和一般视力的子量表改善最大。右眼和左眼的光畸变指数分别为10.19%和3.82%。本病例表明,单侧植入这种类型的人工晶状体可以很好地解决以前进行过近视角膜激光屈光手术的眼睛,当需要单眼白内障手术时,可以成功地恢复双眼视力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful visual rehabilitation after unilateral extended range-of-vision intraocular lens implantation in a patient with previous LASIK
A case of a 44-year-old man undergoing cataract surgery because of ocular trauma in his right eye in which a nondiffractive continuous extended range-of-vision intraocular lens (IOL) was implanted is described. Uneventful bilateral myopic laser in situ keratomileusis correction had been performed 13 years before (oblate corneal profile). At 3 months postoperatively, uncorrected distance, intermediate, and near visual acuities were 0.10, 0.10, and 0.20 logMAR, respectively. An improvement was also observed in most of the subscales of the Visual Functioning Questionnaire-25, with the largest improvement in the subscales driving, distance activities, and general vision. Light distortion indices of 10.19% and 3.82% were found in the right and left eyes, respectively. This case shows that the unilateral implantation of this type of IOL can be a good solution in eyes with previous myopic corneal laser refractive surgery whenmonocular cataract surgery is needed, allowing a successful binocular visual restoration.
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