电邮这篇文章 
发表评论 Correction of postkeratoplastic ametropia in patients with cataract
- 作者: Sinitsyn M.V.1, Pozdeyeva N.A.1
-
隶属关系:
- S.N. Fyodorov Eye Microsurgery Federal State Institution, Cheboksary Branch
- 期: 卷 15, 编号 2 (2022)
- 页面: 27-33
- 栏目: Original study articles
- URL: https://journal-vniispk.ru/ov/article/view/109153
- DOI: https://doi.org/10.17816/OV109153
- ID: 109153
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
订阅存取
详细
BACKGROUND: Penetrating keratoplasty leads, on the one hand, in 100% of cases, to the formation of induced astigmatism of variable degree, on the other hand, to a decrease in the density of endothelial cells of the corneal graft, which can reach from 19.1 to 38.3%. Thus, today the task of safe cataract extraction with minimal loss of density of endothelial cells and maximal correction of corneal astigmatism by the aid of an implantation of a toric intraocular lens is paramount.
AIM: The aim of the study is to conduct a clinical and functional analysis of cataract phacoemulsification with a toric intraocular lens implantation in patients after previously performed penetrating keratoplasty.
MATERIALS AND METHODS: We performed phacoemulsification with implantation of a toric intraocular lens in 25 eyes (25 patients) having a history of penetrating keratoplasty. The 1st degree of the lens nucleus density (according to Buratto classification) was noted in 4 eyes, the 2nd degree — in 17 eyes, the 3rd degree — in 4 eyes. According to keratotopography, all patients had a symmetrical type of postkeratoplastic astigmatism. The average follow-up period was 1 year.
RESULTS: Intra- and postoperative complications were noted. One month after surgery, uncorrected visual acuity increased from an average of 1.3 ± 1.6 to 0.3 ± 0.9 LogMAR, best corrected visual acuity increased from 1.0 ± 1.18 to 0.1 ± 0.9 LogMAR, refractive astigmatism decreased from –7.5 ± 2.43 to –1.43 ± 0.38 D, and did not change during 1 year of follow-up. The density of endothelial cells decreased by 9% 1 year after surgery.
CONCLUSIONS: Cataract phacoemulsification with a toric intraocular lens implantation in patients after previously performed penetrating keratoplasty allows achieving high refractive results. Preoperative analysis of endothelial cell density, careful approach to the intraocular lens calculation, and standard protocol of phacoemulsification make this operation predictable and safe.
作者简介
Maksim Sinitsyn
S.N. Fyodorov Eye Microsurgery Federal State Institution, Cheboksary Branch
Email: mntksinicin@mail.ru
ORCID iD: 0000-0002-7285-1782
Cand. Sci. (Med.), MD, Head of the Children's Department
俄罗斯联邦, CheboksaryNadezhda Pozdeyeva
S.N. Fyodorov Eye Microsurgery Federal State Institution, Cheboksary Branch
编辑信件的主要联系方式.
Email: mntksinicin@mail.ru
ORCID iD: 0000-0003-3637-3645
Dr. Sci. (Med.), Associate Professor, MD, Director
俄罗斯联邦, Cheboksary参考
- Jusufovic V, Cabric E, Vodencarevic AN. Simultaneous penetrating keratoplasty, cataract removal and intraocular lens implantation in Tuzla, Bosnia and Herzegovina. Med Arch. 2019;73(2):123–125. doi: 10.5455/medarh.2019.73.123–125
- Senchenko NYa, Shanturova MA, Mishchenko OP, Zaitseva KA. Results of “material for cornea restoration” application in various types of keratoplasty. Practical medicine. 2017;1(9):88–91. (In Russ.)
- Cao D, Wang S, Wang Y. Femtosecond laser-assisted cataract surgery after penetrating keratoplasty: a case report. BMC Ophthalmol. 2017;17(1):100. doi: 10.1186/s12886-017-0496-1
- Nuzzi R, Monteu F. Correction of high astigmatism after penetrating keratoplasty with toric multifocal intraocular lens implantation. Case Rep Ophthalmol. 2017;8:385–388. doi: 10.1159/000478518
- Lake JC, Victor G, Clare G, et al. Toric intraocular lens versus limbal relaxing incisions for corneal astigmatism after phacoemulsification. Cochrane Database Syst Rev. 2019;12(12):CD012801. doi: 10.1002/14651858.CD012801.pub2
- Suchismitha T. Penetrating keratoplasty with minimal endothelial replacement: a novel technique for high-risk large-diameter corneal grafting. Cornea. 2022;41(2):264–268. doi: 10.1097/ICO.0000000000002875
- Bourne WM, Carey BE, Kaufman HE. Clinical specular microscopy. Trans Am Acad Ophthalmol Otolaring. 1976;81:743–753.
- Tolchinskaya AI. Prichiny rogovichnykh oslozhnenii v otdalennom periode nablyudeniya afakichnogo i artifakichnogo glaza i mery ikh profilaktiki: [dissertation]. Moscow, 1988. (In Russ.)
- Den S, Shimmura S, Shimazaki J. Cataract surgery after deep anterior lamellar keratoplasty and penetrating keratoplasty in age- and disease-matched eyes. J Cataract Refract Surg. 2018;44(4): 496–503. doi: 10.1016/j.jcrs.2018.01.024
- Lockington D, Wang EF, Patel DV, et al. Effectiveness of cataract phacoemulsification with toric intraocular lenses in addressing astigmatism after keratoplasty. J Cataract Refract Surg. 2014;40(12):2044–2049. doi: 10.1016/j.jcrs.2014.03.025
- Pellegrini M, Furiosi L, Yu AC, et al. Outcomes of cataract surgery with toric intraocular lens implantation after keratoplasty. J Cataract Refract Surg. 2022;48(2):157–161. doi: 10.1097/j.jcrs.0000000000000730
- Müftüoğlu İK, Akova YA, Egrilmez S, Yilmaz SG. The results of toric intraocular lens implantation in patients with cataract and high astigmatism after penetrating keratoplasty. Eye Contact Lens. 2016;42(2):e8–e11. doi: 10.1097/ICL.0000000000000147
- Cung LX, Hang DT, Hiep NX, et al. Evaluation of phacoemulsification cataract surgery outcomes after penetrating keratoplasty. Open Access Maced J Med Sci. 2019;7(24):4301–4305. doi: 10.3889/oamjms.2019.379
补充文件
