To evaluate an interlaced triple procedure that involved penetrating keratoplasty (PKP), extracapsular cataract extraction (ECCE) using diathermy capsulotomy, and nonopen-sky intraocular lens (IOL) implantation. This retrospective study involved data from 34 patients who were diagnosed with severe corneal opacities and cataracts. These patients were divided into an interlaced procedure group (21 patients) and a traditional procedure group (13 patients). In the interlaced group, the method of continuous curvilinear capsulorhexis (CCC) was completed via diathermy capsulotomy. The donor corneal button was sutured at 8 positions (at equal intervals) using 10-0 nylon sutures, and the IOL was inserted into the capsular bag using a closed anterior chamber approach at the 10:30 to 12 o'clock positions between the sutures. In the traditional group, CCC was completed using side-port capsular forceps, and the IOL was implanted using an open anterior chamber approach. In the interlaced group, the CCC, open-sky, and total operation times were significantly shorter than in the traditional group (P < .05). Neither the best-corrected visual acuity (BCVA) nor corneal endothelial cell density was significantly different between the groups at 1 and 6 months after the operation. This interlaced triple procedure for the treatment of corneal diseases with cataracts appears to be feasible and practical.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81500703]; Natural Science Foundation of Shandong ProvinceNatural Science Foundation of Shandong Province [ZR2014HQ059, ZR2015YL027]
第一作者单位:[1]Shandong Acad Med Sci, Shandong Eye Inst, Qingdao Eye Hosp, 5 Yanerdao Rd, Qingdao 266071, Peoples R China[2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Ophthalmol,Wuhan,Hubei,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Yang Shuo,Wang Bin,Zhang Yangyang,et al.Evaluation of an interlaced triple procedure: penetrating keratoplasty, extracapsular cataract extraction, and nonopen-sky intraocular lens implantation[J].MEDICINE.2017,96(35):doi:10.1097/MD.0000000000007656.
APA:
Yang, Shuo,Wang, Bin,Zhang, Yangyang,Zhai, Hualei,Wang, Junyi...&Xie, Lixin.(2017).Evaluation of an interlaced triple procedure: penetrating keratoplasty, extracapsular cataract extraction, and nonopen-sky intraocular lens implantation.MEDICINE,96,(35)
MLA:
Yang, Shuo,et al."Evaluation of an interlaced triple procedure: penetrating keratoplasty, extracapsular cataract extraction, and nonopen-sky intraocular lens implantation".MEDICINE 96..35(2017)