MM Joshi Eye Institute, Hubli, Karnataka, India.
J Refract Surg. 2012 Apr;28(4):249-52. doi: 10.3928/1081597X-20120221-01. Epub 2012 Mar 1.
To compare the visual outcomes and complications after suture-assisted and fibrin glue-assisted scleral fixated intraocular (IOL) implantation.
Scleral fixated IOL implantation was performed in patients with inadequate capsular support. Intraocular lens fixation was achieved using sutures or fibrin glue. Main parameters evaluated were visual outcomes and complications.
Fifty patients were included in the study (n=25 suture, n=25 glue). The most common indication for scleral fixated IOL implantation was cataract surgery complicated with posterior capsule rupture (29/50 [58%]). No significant differences were noted between demographic characteristics, surgical indications, and preoperative corrected distance visual acuity (CDVA) in either group (P=.680). No intraoperative complications related to IOL fixation were encountered in any case. At last follow-up (6 months), CDVA was 20/40 or better in 88% and 84% of patients in the suture and glue groups, respectively. Postoperative inflammation (48% vs 16%) and glaucoma (40% vs 16%) were seen more frequently in eyes with sutures as compared to eyes with glue. Overall, a significantly higher number of complications were encountered in eyes with suture fixation (14/25 [56%]) compared to eyes with glue fixation (7/25 [28%]) (P=.045).
Although visual outcomes were similar at the end of 6 months in eyes that underwent suture- and glue-assisted scleral fixated IOL implantation, fibrin glue was associated with fewer complications.
比较缝线辅助与纤维蛋白胶辅助巩膜固定眼内（IOL）植入术后的视力结果和并发症。
对囊袋支持不足的患者进行巩膜固定 IOL 植入术。使用缝线或纤维蛋白胶固定人工晶状体。主要评估的参数是视力结果和并发症。
本研究纳入 50 例患者（缝线组 25 例，纤维蛋白胶组 25 例）。巩膜固定 IOL 植入的最常见适应证是伴有后囊破裂的白内障手术（29/50 [58%]）。两组在人口统计学特征、手术适应证和术前矫正远视力（CDVA）方面无显著差异（P=.680）。在任何情况下，均未发生与 IOL 固定相关的术中并发症。末次随访（6 个月）时，缝线组和纤维蛋白胶组分别有 88%和 84%的患者 CDVA 达到 20/40 或更好。与纤维蛋白胶组相比，缝线组术后炎症（48% vs 16%）和青光眼（40% vs 16%）更为常见。总的来说，缝线固定组（14/25 [56%]）比纤维蛋白胶固定组（7/25 [28%]）发生并发症的数量明显更多（P=.045）。
尽管在 6 个月时缝线辅助与纤维蛋白胶辅助巩膜固定眼内 IOL 植入术后的视力结果相似，但纤维蛋白胶与较少的并发症相关。
