Leccisotti A
Ophthalmic Surgery Unit, Casa di Cura Rugani, Siena, Italy.
Eur J Ophthalmol. 2007 May-Jun;17(3):388-91. doi: 10.1177/112067210701700319.
To assess efficacy and safety of angle-supported phakic intraocular lenses (PIOL) implanted after scleral buckling for retinal detachment.
Private practice in Siena, Italy.
Retrospective, noncomparative consecutive case series. Inclusion criteria for retrospective evaluation were previous uncomplicated external retinal detachment surgery (scleral buckling), and a complete follow-up superior to 3 years from PIOL implantation.
Nine eyes of seven patients were included. Mean time interval between retinal detachment surgery and PIOL implantation was 3.2 years +/- 4.5 (range 1 to 15). Mean spherical equivalent (SE) before PIOL implantation was -16.36 D +/- 3.98; range: -11.75 to -23. PIOL surgery was uneventful in all cases. Mean SE after PIOL implantation was -0.99+/-0.51 (95% confidence interval for the mean: -0.59 to -1.39). Mean follow-up after PIOL implantation was 4.2 years +/- 0.8 (range 3 to 5). Complications were pupil ovalization (inferior to 1 mm) in two eyes, and worsening of floaters in both eyes of one patient. No recurrences of retinal detachment were observed.
In selected eyes with no anterior chamber abnormalities, the implantation of angle supported PIOL after scleral buckling for retinal detachment is associated with good refractive results and minor complications.
评估巩膜扣带术后植入有晶体眼人工晶状体（PIOL）治疗视网膜脱离的有效性和安全性。
意大利锡耶纳的私人诊所。
回顾性、非对照连续病例系列研究。回顾性评估的纳入标准为既往单纯性视网膜外脱离手术（巩膜扣带术），且PIOL植入后随访时间超过3年。
纳入7例患者的9只眼。视网膜脱离手术与PIOL植入的平均时间间隔为3.2年±4.5年（范围1至15年）。PIOL植入前平均等效球镜度（SE）为-16.36D±3.98；范围：-11.75至-23。所有病例的PIOL手术均顺利。PIOL植入后平均SE为-0.99±0.51（平均值的95%置信区间：-0.59至-1.39）。PIOL植入后的平均随访时间为4.2年±0.8年（范围3至5年）。并发症包括2只眼瞳孔椭圆化（小于1mm），1例患者双眼飞蚊症加重。未观察到视网膜脱离复发。
在无前房异常的特定眼中，巩膜扣带术后植入有晶体眼前房支撑PIOL可获得良好的屈光效果，并发症较少。
