飞秒激光辅助角膜基质透镜植入术联合准分子激光矫正高度远视2例  

Femtosecond laser assisted corneal stromal lenticule addition keratoplasty combined with excimer laser correction in two cases of hyperopia

作　　者：沙玲芝 马美娇 陈晓飞 容维宁[1] Sha Lingzhi;Ma Meijiao;Chen Xiaofei;Rong Weining(Department of Ophthalmology,the People′s Hospital of Ningxia Hui Autonomous Region,Ningxia Medical University Affiliated Autonomous Region People′s Hospital and the Third Clinical Medical College,Yinchuan 750002,China;Gansu Aier Eye and Vision Hospital,Lanzhou 730000,China)

机构地区：[1]宁夏回族自治区人民医院眼科,宁夏医科大学附属自治区人民医院暨第三临床医学院,银川750002 [2]甘肃爱尔眼视光医院,兰州730000

出　　处：《中华眼外伤职业眼病杂志》2024年第11期855-860,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：病例1患者女性,19岁,因双眼视力下降8年余就诊,眼科检查:双眼裸眼视力0.05,矫正不提高;显然验光右眼+9.75 DS/-1.0 DC×150°,左眼+10.25 DS/-2.0 DC×10°;最薄点角膜厚度:右眼528μm,左眼537μm;眼轴:右眼19.47 mm,左眼19.45 mm;角膜直径:双眼均为11.5 mm。诊断为"双眼高度远视、双眼弱视及调节性内斜视"。入院后双眼行飞秒激光辅助的异体角膜基质透镜植入联合准分子激光矫正术。病例2患者女性,32岁,因双眼视力下降19年,要求手术摘镜就诊。眼科检查:显然验光右眼+4.00 DS/-1.50 DC×150°,左眼-4.75 DS/-0.50 DC×15°;最佳矫正视力:右眼0.8,左眼1.0;最薄点角膜厚度:双眼545μm。诊断为"右眼高度远视、复合远视散光,左眼近视、复合近视散光,高度屈光参差"。入院后右眼行飞秒激光辅助的角膜基质透镜植入术联合准分子激光矫正术,左眼行飞秒激光小切口角膜基质透镜取出术。2例术后裸眼近视力较术前大幅提高,均获得了较好的视觉质量。A 19-year-old female patient presented to the hospital due to declination of binocular vision for more than 8 years.Ophthalmic examination showed that the uncorrected visual acuity of both eyes was 0.05,and the correction gave no improvement.The right eye was+9.75 DS/-1.0 DC×150°,and the left eye was+10.25 DS/-2.0 DC×10°.Corneal thickness at the thinnest point was 528μm in the right eye and 537μm in the left eye.Axial length was 19.47 mm in the right eye and 19.45 mm in the left eye.Corneal diameter was 11.5 mm in both eyes.The diagnosis suggested binocular hyperopia,binocular amblyopia,and accommodative esotropia.After admission,both eyes underwent femtosecond laser-assisted allogeneic corneal stromal lens implantation combined with excimer laser correction.Another 32-year-old female patient had been suffering from a loss of vision in both eyes for 19 years and requested surgery to eliminate glasses dependence.Ophthalmic examination showed obviously optometry at+4.00 DS/-1.50 DC×150°in the right eye,and-4.75 DS/-0.50 DC×15°in the left eye;best corrected visual acuity of 0.8 in the right eye,and 1.0 in the left eye.Thinnest point corneal thickness was 545μm in both eyes.Diagnosis suggested"High hyperopia,compound hyperopia astigmatism in the right eye,myopia and compound myopia astigmatism in the left eye,high anisometropia".After admission,femtosecond laser-assisted corneal stromal lens implantation combined with excimer laser was performed in the right eye,and femtosecond laser small incision lenticule extraction was performed in the left eye.The uncorrected near visual acuity of the two patients greatly improved compared with that before surgery,achieving better visual quality.

关 键 词：远视 角膜基质 激光 飞秒 

分 类 号：R779.63[医药卫生—眼科]