PDF(Pubmed)
Abstract：
UNASSIGNED: To describe the use of FLACS (Femtosecond-Laser-Assisted Cataract Surgery) and pupiloplasty technique employed in a cataract surgery associated with iris-lens-zonule coloboma, as well as to report the advantages that FLACS can provide in this type of complicated surgery.
UNASSIGNED: During FLACS (Victus® - TECHNOLAS, Bausch and Lomb Incorporated, USA), after the docking procedure, the parameters of capsulotomy, fragmentation and incisions were manually adjusted. Iris retractors were anchored to the edge of the anterior lens capsule to provide stability to the bag during phacoemulsification maneuvers, and a capsular tension ring and intraocular lens (IOL) were implanted. Iris repair was approached using a modification of the slip-knot technique. For this purpose, a 10.0 Prolene on a straight needle was used and knotted extraocularly, over the conjunctiva. Finally, an anterior vitrectomy was performed as a precaution.
UNASSIGNED: In spite of the existing controversy regarding FLACS technology compared to conventional surgery, it seems to be beneficial in complicated cases such as cataracts associated with iris and lens coloboma, since it allows the modification of different parameters that facilitate and ensure surgery safety. On the other hand, the iris repair technique described facilitates manipulation of the iris sutures. In addition, complementary techniques such as the use of a capsular tension ring and pupiloplasty help to center and stabilize the IOL, and to reduce the symptoms derived from iris coloboma, obtaining a better visual quality.
UNASSIGNED: During FLACS (Victus® - TECHNOLAS, Bausch and Lomb Incorporated, USA), after the docking procedure, the parameters of capsulotomy, fragmentation and incisions were manually adjusted. Iris retractors were anchored to the edge of the anterior lens capsule to provide stability to the bag during phacoemulsification maneuvers, and a capsular tension ring and intraocular lens (IOL) were implanted. Iris repair was approached using a modification of the slip-knot technique. For this purpose, a 10.0 Prolene on a straight needle was used and knotted extraocularly, over the conjunctiva. Finally, an anterior vitrectomy was performed as a precaution.
UNASSIGNED: In spite of the existing controversy regarding FLACS technology compared to conventional surgery, it seems to be beneficial in complicated cases such as cataracts associated with iris and lens coloboma, since it allows the modification of different parameters that facilitate and ensure surgery safety. On the other hand, the iris repair technique described facilitates manipulation of the iris sutures. In addition, complementary techniques such as the use of a capsular tension ring and pupiloplasty help to center and stabilize the IOL, and to reduce the symptoms derived from iris coloboma, obtaining a better visual quality.
摘要：
■为了描述FLACS（飞秒激光辅助白内障手术）和瞳孔成形术技术在与虹膜晶状体小带瘤相关的白内障手术中的应用，以及报告FLACS在这种复杂手术中可以提供的优势。
■FLACS期间（Victus®-TECHNOLAS，BauschandLombIncorporated,美国),对接程序后，囊切开术的参数，手动调整碎片和切口。虹膜牵开器固定在晶状体前囊的边缘，以在超声乳化手术期间为囊袋提供稳定性。植入囊袋张力环和人工晶状体(IOL)。使用改进的滑结技术进行虹膜修复。为此,使用直针上的10.0Prolene，并在眼外打结，在结膜上。最后,作为预防措施,我们进行了前路玻璃体切除术.
■尽管与传统手术相比，FLACS技术存在争议，它似乎在复杂的病例中有益，如与虹膜和晶状体缺损相关的白内障，因为它允许修改不同的参数，以促进和确保手术安全。另一方面,所描述的虹膜修复技术有助于操作虹膜缝线。此外,诸如使用囊膜张力环和瞳孔成形术等补充技术有助于使IOL居中并稳定。为了减轻虹膜缺损引起的症状，获得更好的视觉质量。
■FLACS期间（Victus®-TECHNOLAS，BauschandLombIncorporated,美国),对接程序后，囊切开术的参数，手动调整碎片和切口。虹膜牵开器固定在晶状体前囊的边缘，以在超声乳化手术期间为囊袋提供稳定性。植入囊袋张力环和人工晶状体(IOL)。使用改进的滑结技术进行虹膜修复。为此,使用直针上的10.0Prolene，并在眼外打结，在结膜上。最后,作为预防措施,我们进行了前路玻璃体切除术.
■尽管与传统手术相比，FLACS技术存在争议，它似乎在复杂的病例中有益，如与虹膜和晶状体缺损相关的白内障，因为它允许修改不同的参数，以促进和确保手术安全。另一方面,所描述的虹膜修复技术有助于操作虹膜缝线。此外,诸如使用囊膜张力环和瞳孔成形术等补充技术有助于使IOL居中并稳定。为了减轻虹膜缺损引起的症状，获得更好的视觉质量。
