Department of Cataract and Refractive Surgery, Narang Eye Hospital, Ahmedabad, Gujarat, India.
Indian J Ophthalmol. 2013 Apr;61(4):163-7. doi: 10.4103/0301-4738.112160.
To analyze the visual outcome of patients undergoing glue-assisted intrascleral fixation of posterior chamber intraocular lens (IOL) in the absence of posterior capsular support.
This retrospective study analyzes 25 eyes which underwent IOL implantation by the glued intrascleral fixation technique. The pre and post-operative uncorrected visual acuity (UCVA), pre and post-operative best corrected visual acuity (BCVA), intraocular pressure (IOP), IOL position, anterior chamber reaction and central macular thickness were assessed and recorded. Immediate and late post-operative complications were also recorded.
A total of 25 eyes of 22 patients were reviewed and analyzed over a period of one year. All eyes had a foldable three-piece IOL implanted. About 84% of the eyes had a gain of one or more lines, 12% had no gain, and 4% had a fall of three lines of BCVA on Snellen's visual chart, which was attributed to cystoid macular edema (CME). Postoperatively, there was a significant improvement in the UCVA (P < 0.05) and in the BCVA (P < 0.05). Postoperative complications included decentration in one case and vitritis with chronic macular edema in another case. Optical coherence tomography (OCT) demonstrated well placed IOL with no tilt.
Although the results of one year follow-up of glued intrascleral fixation are promising, long term studies are recommended.
分析无后囊支持下应用黏合剂辅助巩膜内固定后房型人工晶状体（IOL）的患者的视力结果。
本回顾性研究分析了 25 只接受黏合剂巩膜内固定技术行 IOL 植入的眼。评估并记录术前和术后未矫正视力（UCVA）、术前和术后最佳矫正视力（BCVA）、眼压（IOP）、IOL 位置、前房反应和中心黄斑厚度。还记录了即时和晚期术后并发症。
共对 22 例患者的 25 只眼进行了为期一年的回顾性分析。所有眼均植入了可折叠的三片式 IOL。约 84%的眼视力提高了一行或更多行，12%的眼没有提高，4%的眼 Snellen 视力表上 BCVA 下降了三行，这归因于囊样黄斑水肿（CME）。术后 UCVA（P<0.05）和 BCVA（P<0.05）显著改善。术后并发症包括 1 例偏心和 1 例葡萄膜炎伴慢性黄斑水肿。光学相干断层扫描（OCT）显示 IOL 位置良好，无倾斜。
尽管黏合剂巩膜内固定一年随访的结果很有前景，但仍建议进行长期研究。
