Результаты факоэмульсификации с имплантацией ИОЛ у пациентов с эндотелиальной дистрофией роговицы Фукса

Oftal mokhirurgiya

Б. Э. Малюгин¹ 

[1] ФГАУ «НМИЦ «МНТК «Микрохиргургия глаза» им. акад. С.Н. Федорова»

关键词: endothelial corneal dystrophy;    Fuchs corneal dystrophy;    cataract;    ultrasound phacoemulsification parameters;    intraocular lens;    corneal endothelium.;    эндотелиальная дистрофия роговицы;    дистрофия роговицы Фукса;    катаракта;    ультразвуковая факоэмульсификация;    интраокулярная линза;    эндотелий роговицы;   

DOI  :  10.25276/0235-4160-2018-3-19-25

学科分类：眼科学

来源: M H T K Mikrokhirurgiya Glaza

【 摘 要 】

Purpose . To evaluate the results of treatment in patients with cataract and Fuchs endothelial corneal dystrophy (FECD) after phacoemulsification and IOL implantation.Material and methods . Ultrasound phacoemulsification with IOL implantation and further clinical-functional parameters follow-up was performed in 23 patients: 6 males (26.1%) and 17 females (73.9%), the mean age was 71.2±17.9 (from 54 to 88 years).Results . No intraoperative complications were registered. Transient corneal edema was observed in 17.4% (4 patients). In 8.7% of cases (2 patients) 3-6 months after the surgery persistent cornea edema was revealed, the visual acuity (VA) was 0.2 and those patients were treated with the Descemet’s membrane transplantation (DMEK). The best corrected visual acuity (BCVA) was high (0.8±0.11) within all follow-up periods. Mean values of corneal pachymetry was 582±32μm 6 months after the surgery. Endothelial cells loss was 19% – 1 month postoperatively, 22.4% – 6 months, 22.9% – 12 months, 24.9% 24 months later. Final endothelial cell density (ECD) 24 months postoperatively was 745±162 cells/mm2.Conclusions . The US phacoemulsification with hydrophobic IOL implantation is eventual, expedient and efficient for treatment of patients with cataract and early stage of FECD. Minimal US and hydrodynamic parameters settings are favorable to provide a better corneal endothelial protection.

【 授权许可】

CC BY