Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
J Cataract Refract Surg. 2013 Aug;39(8):1211-8. doi: 10.1016/j.jcrs.2013.03.004. Epub 2013 May 30.
To evaluate the complications and visual outcomes of glued intrascleral-fixated foldable intraocular lens (IOL) in eyes with deficient capsules.
Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Case series.
Data were evaluated from the records of patients with a primary glued foldable IOL for intraoperative capsular loss or subluxated lens or secondary glued foldable IOL for aphakia. Exclusion criteria included preoperative glaucoma, aniridia, macular scar, traumatic subluxation, combined surgeries, incomplete operative medical records, and postoperative follow-up less than 6 months. The intraoperative and postoperative complication rates, reoperation rate, and visual outcomes were analyzed.
The study comprised 208 eyes (185 patients). The mean follow-up was 16.7 months ± 10.2 (SD). The intraoperative complications were hyphema (0.4%), haptic breakage (0.4%), and deformed haptics (0.9%). Early complications occurred in 29 eyes (13.9%) and included corneal edema (5.7%), epithelial defect (1.9%), and grade 2 anterior chamber reaction (2.4%). Late complications occurred in 39 eyes (18.7%) and included optic capture (4.3%), IOL decentration (3.3%), haptic extrusion (1.9%), subconjunctival haptic (1.4%), macular edema (1.9%), and pigment dispersion (1.9%). Reoperation was required in 16 eyes (7.7%). Haptic position was altered in eyes with IOL decentration. Corrected distance visual acuity (CDVA) improved or remained unchanged in 84.6% of eyes. The postoperative CDVA was 20/40 or better and 20/60 or better in 38.9% and 48.5% of eyes, respectively.
The foldable glued-IOL procedure showed satisfactory visual outcomes without serious complications. Intraocular lens decentration was due to haptic-related problems.
评估在囊袋功能不良的眼中，粘合同种异体巩膜固定折叠式人工晶状体（IOL）的并发症和视力结果。
印度钦奈的 Agarwal 博士眼科医院和眼科研究中心。
病例系列。
从因术中囊膜丢失或晶状体半脱位而接受初次粘合同种异体折叠式 IOL 或因无晶状体而接受二次粘合同种异体折叠式 IOL 的患者的病历中评估数据。排除标准包括术前青光眼、无虹膜、黄斑瘢痕、外伤性半脱位、联合手术、手术记录不完整和术后随访少于 6 个月。分析了术中及术后并发症发生率、再次手术率和视力结果。
本研究共包括 208 只眼（185 例患者）。平均随访时间为 16.7 个月±10.2（SD）。术中并发症包括前房积血（0.4%）、人工晶状体襻断裂（0.4%）和人工晶状体襻变形（0.9%）。29 只眼（13.9%）发生早期并发症，包括角膜水肿（5.7%）、上皮缺损（1.9%）和 2 级前房反应（2.4%）。39 只眼（18.7%）发生晚期并发症，包括光学嵌顿（4.3%）、IOL 偏心（3.3%）、人工晶状体襻脱出（1.9%）、巩膜下人工晶状体襻（1.4%）、黄斑水肿（1.9%）和色素播散（1.9%）。16 只眼（7.7%）需要再次手术。IOL 偏心的眼中人工晶状体襻位置发生改变。84.6%的眼视力矫正（CDVA）提高或保持不变。术后 CDVA 为 20/40 或更好的比例分别为 38.9%和 48.5%，20/60 或更好的比例分别为 48.5%和 48.5%。
折叠式粘合同种异体 IOL 手术具有令人满意的视力结果，且无严重并发症。IOL 偏心是由于人工晶状体襻相关问题所致。
