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首页> 外文期刊>Case Reports in Ophthalmology >Use of a Toric Intraocular Lens and a Limbal-Relaxing Incision for the Management of Astigmatism in Combined Glaucoma and Cataract Surgery
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Use of a Toric Intraocular Lens and a Limbal-Relaxing Incision for the Management of Astigmatism in Combined Glaucoma and Cataract Surgery

机译：复曲面人工晶状体和角膜缘松解切口在合并青光眼和白内障手术中的散光管理中的应用

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Purpose: We report the surgical management of a patient with glaucoma undergoing cataract surgery with high preexisting astigmatism. A combination of techniques was employed for her astigmatism management. Methods: A 76-year-old female with 5.5 dpt of corneal astigmatism underwent surgery in her left eye consisting of one-site trabeculectomy, phacoemulsification, toric intraocular lens implantation and a single inferior limbal-relaxing incision. Results: Intraocular pressure control was achieved with no medication at 11 mm Hg; before the filtering procedure, the pressure was 16 mm Hg on two topical drugs. Astigmatism was reduced to 0.75 dpt, and both corrected and uncorrected visual acuity improved. Conclusions: Astigmatism management can have a good outcome in combined procedures. We encourage surgeons to address astigmatism in the preoperative planning of patients undergoing glaucoma surgery associated with phacoemulsification.
机译：目的：我们报告患有白内障手术且高度散光的青光眼患者的手术治疗。她的散光处理采用了多种技术组合。方法：一名76岁女性，患有5.5 dpt的角膜散光，其左眼接受了一次手术，包括一处小梁切除术，超声乳化术，复曲面人工晶状体植入术和单个下缘松弛性切口。结果：11 mm Hg无需药物即可实现眼内压控制。在过滤之前，两种局部用药的压力为16 mm Hg。散光降低至0.75 dpt，矫正和未矫正的视敏度均得到改善。结论：散光治疗在联合手术中可以取得良好的效果。我们鼓励外科医生在接受晶状体超声乳化手术的青光眼手术患者的术前计划中解决散光问题。

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