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可折叠后房型人工晶状体经巩膜固定术的手术技术

Surgical technique for transscleral fixation of a foldable posterior chamber intraocular lens.

作者信息

Yepez Juan B, de Yepez Jazmin Cedeño, Valero Alejandro, Arevalo J Fernando

机构信息

Retina and Vitreous Service, Clinica de Ojos de Maracaibo, Maracaibo.

出版信息

Ophthalmic Surg Lasers Imaging. 2006 May-Jun;37(3):247-50. doi: 10.3928/15428877-20060501-13.

DOI:10.3928/15428877-20060501-13
PMID:16749265
Abstract

The safety and efficacy of a modified technique for transscleral fixation of a foldable posterior chamber intraocular lens (IOL) for intracapsular aphakia (secondary IOL) or after complicated phacoemulsification was evaluated. All eyes had inadequate or no posterior capsular support. Follow-up was between 4 and 26 months (mean, 12 months). Uncorrected visual acuity improved (> 2 lines) in all patients. During follow-up, the IOL was correctly positioned in all cases. There were no major complications, such as endophthalmitis or suture erosion through the conjunctiva at the site of fixation. No patient required further surgical interventions. This modified technique of transscleral fixation of foldable posterior chamber IOL offers the advantages of a small incision and rapid visual rehabilitation, and minimizes the risk of intraoperative and postoperative complications.

摘要

评估了一种改良技术用于无晶状体眼(二期人工晶状体)或复杂白内障超声乳化术后经巩膜固定折叠式后房型人工晶状体(IOL)的安全性和有效性。所有患眼均缺乏足够的后囊膜支持或无后囊膜支持。随访时间为4至26个月(平均12个月)。所有患者的未矫正视力均有提高(提高超过2行)。随访期间,所有病例的人工晶状体位置均正确。未发生诸如眼内炎或固定部位结膜缝线侵蚀等严重并发症。没有患者需要进一步的手术干预。这种改良的经巩膜固定折叠式后房型人工晶状体技术具有切口小、视力恢复快的优点,并将术中及术后并发症的风险降至最低。

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Int Ophthalmol. 2018 Dec;38(6):2295-2301. doi: 10.1007/s10792-017-0721-1. Epub 2017 Oct 4.