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Face-to-face phacoemulsification using a slitlamp in patients who are unable to lie flat.
Journal of Cataract & Refractive Surgery ( IF 2.8 ) Pub Date : 2019-10-03 , DOI: 10.1016/j.jcrs.2019.08.012
Marc Muraine 1 , Guillaume Boutillier 1 , David Toubeau 1 , Julie Gueudry 1
Affiliation  

Phacoemulsification can be challenging in patients who are unable to lie flat or sit in a reclined position that exceeds 30 degrees to 45 degrees during surgery. We describe a new technique that we have used on 4 eyes of two patients. Both were operated on while sitting in a strictly upright position, resting their chin in front of a mobile slitlamp in the same manner as during a standard ophthalmologic examination. The surgeon sits on the other side of the slitlamp, facing the patient, and operates via a temporal corneal incision. The described operating conditions were deemed perfectly adequate by the experienced surgeon. Both patients recovered a corrected distance visual acuity of 20/20 in both eyes and said they would recommend this surgery to anyone who cannot lie flat. Surgeons should consider this technique when standard surgical positioning is not possible.

中文翻译:

对于无法平躺的患者,使用裂隙灯进行面对面的超声乳化术。

对于无法平躺或无法在手术过程中超过30度到45度的倾斜姿势的患者,超声乳化术可能具有挑战性。我们描述了一种在两名患者的四只眼中使用的新技术。两者均以严格直立的姿势进行手术,其下巴与标准眼科检查时的方式相同,将其下巴放在可移动裂隙灯的前面。外科医生坐在裂隙灯的另一侧,面对患者,并通过颞角膜切口进行手术。有经验的外科医生认为所描述的操作条件是完全合适的。两名患者的双眼矫正远视力均为20/20,并表示将向无法平躺的任何人推荐该手术。
更新日期:2019-10-03
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