PDF(Pubmed)
Abstract：
We report a rare case of bilateral keratoglobus with hypermature intumescent cataract in a 55-year-old woman. Clinical examination and corneal topography confirmed generalized corneal bulging and global corneal thinning. A Pentacam® (Oculus Optikgerate, Wetzlar, Germany) demonstrated bilateral diffuse corneal thinning (368 μm in the right eye and 371 μm in the left eye). Phacoemulsification was performed in the right eye after thorough workup and modification of the surgical technique. This case report helps in better understanding of the challenges of cataract surgery and intraocular lens selection in a keratoglobus patient, and stresses the need for both thorough preoperative planning and intraoperative surgical modifications.
摘要：
我们报告了一名55岁女性中罕见的双侧角膜球伴过度成熟的膨胀期白内障病例。临床检查和角膜地形图证实了全身角膜膨出和整体角膜变薄。APentacam®(OculusOptikgerate,Wetzlar,德国）显示双侧弥漫性角膜变薄（右眼368μm，左眼371μm）。经过彻底的检查和手术技术的修改后，在右眼进行了超声乳化手术。该病例报告有助于更好地了解角膜角化球症患者的白内障手术和人工晶状体选择的挑战。并强调需要全面的术前计划和术中手术修改。
