Liang Yuan Bo, Fong Yoly Y Y, Cheng Lulu L, Young Alvin L
Clinical and Epidemiological Eye Research Center, the Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.
Department of Ophthalmology & Visual Sciences, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Int J Ophthalmol. 2017 Jan 18;10(1):77-80. doi: 10.18240/ijo.2017.01.13. eCollection 2017.
To report the outcomes of anterior vitrectomy using high speed cutter for scleral fixated intraocular lens (SFIOL) implantation in patients with posterior capsular rupture.
Medical records of 51 patients with posterior capsular rupture who received high speed cutter anterior vitrectomy limbal incision with SFIOL implantation from June 2011 to December 2013 were reviewed retrospectively for visual outcomes and complications.
Totally 51 eyes of 51 patients were identified (23 males and 28 females). Mean age at surgery was 67.2±15y (range 27-91y), with mean follow-up of 23±8.2mo (range 12-40mo). The 49 (96.1%) eyes had improvement or unchanged of final postoperative visual acuity. The most common complication was vitreous haemorrhage (5.9%) and transient rise in intraocular pressure (5.9%) which all spontaneously resolved.
High speed cutter anterior vitrectomy limbal incision is a safe and effective method for those with posterior capsular rupture for SFIOL implantation.
报告使用高速切割器行前路玻璃体切除术联合巩膜固定人工晶状体（SFIOL）植入术治疗后囊膜破裂患者的手术效果。
回顾性分析2011年6月至2013年12月期间51例行高速切割器前路玻璃体切除术联合角膜缘切口SFIOL植入术的后囊膜破裂患者的病历资料，观察其视力结果及并发症情况。
共纳入51例患者的51只眼（男性23例，女性28例）。手术时平均年龄为67.2±15岁（范围27 - 91岁），平均随访时间为23±8.2个月（范围12 - 40个月）。49只眼（96.1%）术后最终视力得到改善或保持不变。最常见的并发症是玻璃体积血（5.9%）和眼压短暂升高（5.9%），均自行缓解。
高速切割器前路玻璃体切除术联合角膜缘切口对于后囊膜破裂患者行SFIOL植入术是一种安全有效的方法。
