Objective This study was performed to analyze the visual outcomes and complications of phacoemulsification using a 3.2-mm transparent corneal incision in eyes with cataract after radial keratotomy (RK). Methods We retrospectively reviewed cases of lens phacoemulsification and intraocular lens implantation after RK. The main measurement results were postoperative best-corrected visual acuity (BCVA), endothelial cell density, and complications. Results Overall, 19 eyes of 12 patients with 8 (n = 6), 12 (n = 7), and 16 (n = 6) RK cuts were included in the study. Intraoperative wound dehiscence occurred in two eyes with 16 RK cuts. Successful phacoemulsification with intraocular lens implantation was performed in all eyes. The mean BCVA at the last follow-up (0.19 +/- 0.13 LogMAR) was significantly better than the preoperative BCVA (0.72 +/- 0.54 LogMAR). However, there was a significant reduction in the corneal endothelial cell density after surgery (2384.0 +/- 833.4/mm(2) vs. 1716.95 +/- 906.79/mm(2)). Conclusions Surgeons should be aware of the risk of wound dehiscence in patients who undergo phacoemulsification after RK. A small transparent corneal incision or scleral tunnel incision is recommended.
基金：
Beijing New Star of Science and Technology Plan
(H020821380190, Z131102000413025) and the
National Natural Science Fund Projects of
China (30471861).
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2019]版：
大类|4 区医学
小类|4 区医学：研究与实验4 区药学
最新[2025]版：
大类|4 区医学
小类|4 区医学：研究与实验4 区药学
JCR分区：
出版当年[2018]版：
Q4PHARMACOLOGY & PHARMACYQ4MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版：
Q4MEDICINE, RESEARCH & EXPERIMENTALQ4PHARMACOLOGY & PHARMACY
第一作者机构：[1]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Inst Ophthalmol, Beijing Tongren Hosp, 17 Hougou Lane, Beijing 100005, Peoples R China[2]Beijing Key Lab Ophthalmol & Visual Sci, 17 Hougou Lane, Beijing 100005, Peoples R China
通讯作者：
通讯机构：[1]Capital Med Univ, Beijing Tongren Eye Ctr, Beijing Inst Ophthalmol, Beijing Tongren Hosp, 17 Hougou Lane, Beijing 100005, Peoples R China[2]Beijing Key Lab Ophthalmol & Visual Sci, 17 Hougou Lane, Beijing 100005, Peoples R China[*1]Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University[*2]Beijing Key Laboratory of Ophthalmology & Visual Sciences, No. 17 Hougou Lane, Dongcheng District, Beijing 100005, China.
推荐引用方式(GB/T 7714)：
Wang Jin-da,Liu Xue,Zhang Jing-shang,et al.Effects and risks of 3.2-mm transparent corneal incision phacoemulsification for cataract after radial keratotomy[J].JOURNAL OF INTERNATIONAL MEDICAL RESEARCH.2020,48(3):doi:10.1177/0300060519895679.
APA：
Wang, Jin-da,Liu, Xue,Zhang, Jing-shang,Xiong, Ying,Li, Jing...&Wan, Xiu-hua.(2020).Effects and risks of 3.2-mm transparent corneal incision phacoemulsification for cataract after radial keratotomy.JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,48,(3)
MLA：
Wang, Jin-da,et al."Effects and risks of 3.2-mm transparent corneal incision phacoemulsification for cataract after radial keratotomy".JOURNAL OF INTERNATIONAL MEDICAL RESEARCH 48..3(2020)
