飞秒激光辅助超声乳化白内障吸除术治疗ICL植入术后并发性白内障1例  

A case of treating complicated cataract after ICL implantation with femtosecond laser-assisted phacoemulsification cataract extraction

作　　者：柯妍 胡尊霞 陈冉 曹加国 司马晶 Ke Yan;Hu Zunxia;Chen Ran;Cao Jiaguo;Sima Jing(Shenzhen Aier Eye Hospital Affiliated to Jinan University,Shenzhen 518031,China)

机构地区：[1]暨南大学附属深圳爱尔眼科医院,深圳518031

出　　处：《中华眼科杂志》2025年第2期135-139,共5页Chinese Journal of Ophthalmology

基　　金：广州市科技计划—2025年度市校(院)企联合资助专题项目(2025A03J3534)。

摘　　要：54岁男性因双眼视力下降2年就诊。10年前患者于暨南大学附属深圳爱尔眼科医院接受过视网膜激光光凝治疗、周边虹膜切开术及植入式Collamer透镜(ICL)植入术。患者本次就诊诊断为双眼并发性白内障。在进行右眼ICL取出、超声乳化白内障吸除及人工晶状体(IOL)植入术过程中,发现部分悬韧带断裂,最后IOL植入睫状沟中,且术后反复出现眼压升高。基于右眼术中、术后的情况,左眼选择了ICL取出、飞秒激光辅助的超声乳化白内障吸除术、张力环植入术及IOL植入术,未出现并发症且术后恢复快。飞秒激光辅助的白内障摘除手术在ICL术后的并发性白内障患者中展现出了独特的优势。然而,飞秒激光定位的误差可能导致ICL损伤,气泡积聚也可能阻碍飞秒激光碎核的完成。因此,对ICL术后患者行飞秒激光白内障手术需谨慎规划、仔细观察。A 54-year-old male patient presented with decreased vision in both eyes for 2 years.He had previously undergone retinal photocoagulation,peripheral iridotomy,and phakic implantable Collamer lens(ICL)implantation in Shenzhen Aier Eye Hospital Affiliated to Jinan University 10 years ago.He was diagnosed with complicated cataract.The patient underwent ICL extraction,cataract phacoemulsification,and intraocular lens(IOL)implantation in the right eye.During the procedure,zonular ligament rupture occurred,resulting in the IOL being placed in the ciliary sulcus and subsequent recurrent elevated intraocular pressure.Comparatively,he underwent ICL extraction,femtosecond laser-assisted cataract phacoemulsification,tension ring implantation,and IOL implantation in the left eye without complications.Femtosecond laser-assisted cataract surgery demonstrated advantages in a complicated cataract patient who had previously undergone ICL implantation.However,the precision required for laser positioning may lead to ICL damage,and gas bubble accumulation can hinder complete nuclear fragmentation.Therefore,caution is necessary when focusing the femtosecond laser in eyes with ICL.

关 键 词：激光 飞秒 超声乳化白内障吸除术 有晶状体眼人工晶状体植入术 白内障 

分 类 号：R47[医药卫生—护理学]