Corneal surgery for severe phacoemulsification burns.
Corneal surgery for severe phacoemulsification burns.
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DOI：
10.1016/j.ophtha.2003.06.004
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发表时间：
2004-02
期刊：
影响因子：
13.7
通讯作者：
A. Khodabakhsh;A. Khodabakhsh;G. Zaidman;G. Zaidman;G. Tabin
中科院分区：
文献类型：
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作者：
A. Khodabakhsh;A. Khodabakhsh;G. Zaidman;G. Zaidman;G. Tabin
目的评价角膜手术治疗严重角膜超声乳化烧伤的效果。设计干预病例系列。对严重的术中超声乳化烧伤患者进行手术治疗。干预：1例行穿透性角膜移植，3例行板层角膜成形术治疗角膜烧伤。主要观察手术前后视力、术前术后角膜地形图及临床观察。1名患者接受了穿透性角膜移植，而另外3名患者接受了板层移植。术后矫正视力20/30~20/50，散光度2.5~5.5度。
OBJECTIVETo evaluate the outcome of corneal surgery for the treatment of severe corneal phacoemulsification burns.DESIGNInterventional case series.PARTICIPANTSFour patients with severe intraoperative phacoemulsification burns.INTERVENTIONOne patient underwent penetrating keratoplasty and 3 underwent lamellar keratoplasties for the treatment of their corneal burns.MAIN OUTCOME MEASURESPreoperative and postoperative visual acuities, preoperative and postoperative corneal topographies, and clinical observation.RESULTSThe visual acuity (VA) after the phacoemulsification burn was counting fingers in all patients. One patient had a penetrating keratoplasty, whereas the other 3 had lamellar grafts. After the corneal surgery, the corrected postoperative VA was 20/30 to 20/50 in all patients, with astigmatism ranging from 2.5 to 5.5 diopters.CONCLUSIONSevere phacoemulsification burns can be safely treated with corneal surgery, with acceptable postoperative visual acuities.