Endoillumination-assisted cataract surgery in a patient with corneal opacity
Endoillumination-assisted cataract surgery in a patient with corneal opacity
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DOI：
10.1016/s0886-3350(03)00493-0
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发表时间：
2003-12-01
影响因子：
2.8
通讯作者：
Sugiyama, K
中科院分区：
文献类型：
--
作者：
Nishimura, A;Kobayashi, A;Sugiyama, K
我们提出了一种通过角膜混浊更好地显示白内障的技术。一位70岁的日本妇女，因左眼视网膜脱离、白内障和角膜混浊，接受了超声乳化、三孔玻璃体切除和人工晶状体植入术。为了避免连续环形撕囊(CCC)和后续的通过模糊的角膜进行白内障手术的困难，我们使用内照明器作为连续环形撕囊术的光源在角膜外，在前房内作为光源进行超声乳化。结果，尽管存在潜在的麻烦的角膜混浊，CCC和随后的白内障手术还是成功和容易地进行了。角膜混浊患者行白内障手术时，使用眼内照射器是一种有效的辅助措施。(C)2003年《儿童权利公约》和《经济、社会和文化权利公约》。
We present a technique to better visualize cataracts through corneal opacity. A 70-year-old Japanese woman with retinal detachment, cataract, and corneal opacity in the left eye was treated with phacoemulsification, 3-port vitrectomy, and intraocular lens implantation. To circumvent the difficulty of performing continuous curvilinear capsulorhexis (CCC) and subsequent cataract surgery through a hazy cornea, we used an endoilluminator as a light source outside the cornea for CCC and inside the anterior chamber for phacoemulsification. As a result, CCC and subsequent cataract surgery were successfully and easily performed despite potentially troublesome corneal opacity. The use of an endoilluminator can be an effective supportive measure for cataract surgery in patients with corneal opacity. (C) 2003 ASCRS and ESCRS.