Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Eye Contact Lens. 2012 Jan;38(1):68-71. doi: 10.1097/ICL.0b013e3182358b3e.
To report the feasibility and outcome of the technique of glue-assisted fixation of decentered posterior chamber intraocular lens (PCIOL) in the posterior chamber using the same IOL.
The procedure was performed in three eyes having decentered PCIOL with inadequate capsular rim to support the IOL. The haptics were exteriorized under a partial thickness scleral flap at 1.5 mm behind the limbus and placed into a partial thickness scleral pocket and fixed with fibrin glue. No suture was placed at any site.
On day 1 and at 6 weeks, the IOLs were well centered. There was no significant anterior or posterior segment inflammation, and the intraocular pressure was normal.
Fibrin glue-assisted fixation of PCIOL is a feasible technique with good outcome in eyes with decentered IOL with inadequate capsular support.
报告使用同一人工晶状体(IOL)通过胶辅助固定偏心后房型人工晶状体(PCIOL)在后房中的技术的可行性和结果。
对 3 只存在偏心 PCIOL 且囊袋边缘不足以支撑 IOL 的眼睛进行了该手术。将襻从 1.5mm 后的角膜缘下的部分厚度巩膜瓣下引出,并将其置于部分厚度巩膜袋中,用纤维蛋白胶固定。任何部位均不放置缝线。
术后第 1 天和第 6 周,IOL 均居中良好。眼前段和眼后段均无明显炎症,眼压正常。
对于存在偏心 IOL 且囊袋支持不足的眼睛,纤维蛋白胶辅助固定 PCIOL 是一种可行的技术,具有良好的效果。