新眼光眼科診所 -- 白內障手術 過熟型白內障 hypermature cataract 2014/10 ALCON Acrysof IQ RSTOR TORIC IOL SV25T4 скачать в хорошем качестве

新眼光眼科診所 -- 白內障手術 過熟型白內障 hypermature cataract 2014/10 ALCON Acrysof IQ RSTOR TORIC IOL SV25T4

For more information: Stephen YC Hsiao, MD, is in private practice at Newvision Eye Surgery Clinic, He can be reached at No.518 5th Section Chung Hsiao East Rd. Taipei, Taiwan; 蕭裕泉 醫師 潘怡文 醫師 新眼光眼科診所 Taipei Taiwan 台灣 台北市 信義區 http://www.asianewvision.com.tw e-mail: [email protected] Tel: +886-2-23460266 高難度白內障手術—過熟型白內障 hypermature cataract 病人陳◎鶯是約70歲的病人，因為發生白內障自覺視力越來越模糊，於2014年6月先做左眼手術，術後效果良好，左眼術後裸視1.0，今天做的是右眼白內障手術phacoemulsification,此次和上次一樣，患者接受白內障cataract、近視myopia、老花presbyopia、散光astigmatism、非球面aspheric的矯正手術，植入五合一多焦點人工水晶體ReSTOR TORIC。因右眼屬過熟型白內障hypermature cataract，視力僅剩hand movement 10cm.我們將於手術中使用靛氰綠劑ICG作前囊染色。 手術病患術前簡介 Chart review. 為病患撐開眼睛，準備開始手術，並注入靛氰綠劑。 Topical anesthesia with 4% xylocaine，cutting the eyelashes，Bata-iodine irrigation 2.5mm corneal incision is made by microsurgical knife. ICG indocyanine green inject into the anterior chamber. 於前房注入人工玻璃體，再用前房鑷撕開水晶體囊，便開始水晶體乳化手術。 Viscoat is injected into anterior chamber. The anterior chamber is inflated with dispersive OVD. A small paracentesis in then placed 90∘away from corneal incision. Central linear cut in the anterior capsule, using a cystotome needle. Grasp the free edge of the anterior capsule with Ultrata forceps, and the flap is carried around in a circular manner. Hydrodissection to separate the peripheral cortex from the underlying capsule. Phacoemulsification to remove the nucleus of the cataract. 沖洗剩餘的白內障皮質部份。 Using an irrigation/aspiration hand piece to remove the peripheral cortex of the cataract. 再次確認病人資料與欲植入的人工水晶體度數，接著植入人工水晶體，並調整散光的軸度。 Viscoat is injected into the capsular bag. The IOL is folded and passed through within the capsular bag. The IOL is in place and stromal hydration performed for corneal incision. 將剩餘的人工玻璃體吸除，並於手術結束前給予消炎藥水及抗生素。 Miostat is injected into anterior chamber. Anterior chamber is irrigated with BSS. Check the corneal wound and stromal hydration for it.Using NSAID and antibiotics eyedrop