Szurman P, Gekeler K
Knappschafts-Augenklinik Sulzbach Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Deutschland,
Ophthalmologe. 2014 Mar;111(3):217-23. doi: 10.1007/s00347-013-2847-5.
Scleral suture fixation is one of several techniques used for secondary lens implantation in cases of inadequate capsular support for which many variations have been published. A transscleral suture can be accomplished using either an external or internal approach. The lens can be implanted using an injector with large incisions for unfolding lenses or also via small self-sealing incisions. Episcleral fixation of the suture can be accomplished by protecting the knot under scleral flaps, intrascleral rotation of the knot and using sclerocorneal pockets or scleral grooves. The intrascleral Z-suture with five intrascleral passes of the suture is a knotless technique providing several advantages.
巩膜缝线固定术是在囊袋支撑不足的情况下用于二期晶状体植入的几种技术之一，关于该技术已有许多不同的变体发表。经巩膜缝线固定可通过外部或内部入路完成。晶状体可使用带有大切口的注射器植入以展开晶状体，也可通过小的自闭式切口植入。缝线的巩膜外固定可通过将线结置于巩膜瓣下、线结的巩膜内旋转以及使用角巩膜袋或巩膜沟来完成。巩膜内Z形缝线，缝线在巩膜内穿过五次，是一种无结技术，具有多种优点。
