Moreno-Montañés Javier, Heras Henar, Fernández-Hortelano Ana
Departamento de Oftalmología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain.
J Cataract Refract Surg. 2005 Feb;31(2):270-3. doi: 10.1016/j.jcrs.2004.04.041.
We describe a surgical technique for managing late dislocation of an intraocular lens-capsular bag-capsular tension ring (IOL-CB-CTR) complex. Two 10-0 polypropylene sutures are placed transsclerally over and under the CTR through the anterior and posterior capsules to capture the CTR, which then is retracted and sutured through the sclera. The same maneuver is performed 180 degrees away. This simple, easy, effective procedure can be performed with a small corneal incision and does not require extraction of the IOL-CB complex. Although the CTR does not completely prevent IOL-CB dislocation, it provides the possibility of suturing the IOL-CB to the sulcus without replacing the IOL.
我们描述了一种用于处理人工晶状体-囊袋-囊袋张力环（IOL-CB-CTR）复合体晚期脱位的手术技术。通过前囊膜和后囊膜经巩膜在CTR上方和下方放置两根10-0聚丙烯缝线以固定CTR，然后将其牵拉并经巩膜缝合。在180度的对侧进行相同操作。这种简单、易行、有效的手术可通过小角膜切口进行，且无需取出IOL-CB复合体。尽管CTR不能完全防止IOL-CB脱位，但它提供了在不更换人工晶状体的情况下将IOL-CB缝合至睫状沟的可能性。
