Moran Eye Center, Department of Pharmacotherapy, University of Utah, School of Medicine, 50 North Medical Drive, Salt Lake City, Utah 84132, USA.
Curr Opin Ophthalmol. 2012 Jan;23(1):62-7. doi: 10.1097/ICU.0b013e32834cd5e5.
To review the recent literature addressing the surgical approaches to intraocular lens (IOL) fixation in the setting of inadequate capsular support.
Lack of capsular support is a commonly encountered problem facing the anterior segment surgeon. Recent reports suggest that visual outcomes are generally good with modern IOLs and surgical approaches. More recently described techniques include sutureless scleral fixation and intraocular endoscopy-guided suture placement.
Many clinical circumstances require extracapsular IOL fixation and multiple options exist in the setting of inadequate capsular support. Ultimately, there are many factors that must be considered in selecting an appropriate surgical approach. These include ocular history as well as the skill, experience, and comfort level of the individual surgeon. The myriad of options that now exist for IOL fixation increases the likelihood that patients with a wide variety of pathologic states will attain their best possible visual outcome.
回顾近期文献，探讨在囊袋支持不足的情况下，人工晶状体（IOL）固定的手术方法。
囊袋支持不足是眼前节外科医生经常面临的问题。最近的报告表明，现代 IOL 和手术方法的视觉效果通常很好。最近描述的技术包括无缝线巩膜固定和眼内内窥镜引导缝线放置。
许多临床情况需要囊外 IOL 固定，在囊袋支持不足的情况下有多种选择。最终，在选择合适的手术方法时，需要考虑许多因素。这些因素包括眼部病史以及外科医生的技能、经验和舒适度。目前，IOL 固定的选择众多，增加了各种病理状态的患者获得最佳视力的可能性。
