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本文引用的文献

1
An 8-year retrospective study of cataract surgery and postoperative endophthalmitis: injectable intraocular lenses may reduce the incidence of postoperative endophthalmitis.一项关于白内障手术及术后眼内炎的8年回顾性研究：可注射人工晶状体可能降低术后眼内炎的发生率。
Br J Ophthalmol. 2015 Oct;99(10):1377-80. doi: 10.1136/bjophthalmol-2014-306372. Epub 2015 Apr 13.
2
A simple method to shorten the unfolding time of prehydrated hydrophobic intraocular lens.一种缩短预水化疏水人工晶状体展开时间的简单方法。
Can J Ophthalmol. 2014 Aug;49(4):382-7. doi: 10.1016/j.jcjo.2014.06.002.
3
Ophthalmic viscosurgical device backflow into cartridge during intraocular lens insertion using injectors.在使用注射器植入人工晶状体过程中，眼科粘弹剂手术器械回流至药筒。
Clin Ophthalmol. 2014 Jan 31;8:321-5. doi: 10.2147/OPTH.S55115. eCollection 2014.
4
Aspergillus tubingenesis endophthalmitis after cataract surgery with implantation of preloaded intraocular lens.白内障手术植入预装式人工晶状体后发生的图宾根曲霉菌眼内炎。
Semin Ophthalmol. 2014 Jul;29(4):218-21. doi: 10.3109/08820538.2013.835843. Epub 2013 Oct 31.
5
Intraocular lens delivery characteristics of the preloaded AcrySof IQ SN60WS/AcrySert injectable lens system.预装 AcrySof IQ SN60WS/AcrySert 注吸式人工晶状体系统的眼内晶状体输送特性。
Am J Ophthalmol. 2013 Jul;156(1):77-81.e2. doi: 10.1016/j.ajo.2013.01.032. Epub 2013 Mar 28.
6
A Case of Delayed-Onset Propionibacterium acnes Endophthalmitis after Cataract Surgery with Implantation of a Preloaded Intraocular Lens.1例白内障手术植入预装式人工晶状体后迟发性痤疮丙酸杆菌性眼内炎病例
Case Rep Ophthalmol. 2012 Sep;3(3):291-7. doi: 10.1159/000342460. Epub 2012 Sep 11.
7
Spontaneous dislocation of intraocular lens as a late complication of uncomplicated cataract surgery: a case series.
Clin Exp Optom. 2012 Jan;95(1):99-102. doi: 10.1111/j.1444-0938.2011.00640.x. Epub 2011 Sep 28.
8
Capsule contraction syndrome with haptic deformation and flexion.囊袋收缩综合征伴触觉变形和弯曲。
J Cataract Refract Surg. 2010 Apr;36(4):686-9. doi: 10.1016/j.jcrs.2009.09.042.
9
[Architectural analysis of clear corneal incisions using Visante OCT in acute postoperative endophthalmitis].[使用Visante光学相干断层扫描对急性术后眼内炎患者透明角膜切口进行的结构分析]
J Fr Ophtalmol. 2010 Jan;33(1):10-5. doi: 10.1016/j.jfo.2009.11.010. Epub 2010 Jan 6.
10
Bilateral manifestation of severe anterior capsule contraction syndrome after implantation of a preloaded intraocular lens.
Clin Exp Optom. 2009 Nov;92(6):503-4. doi: 10.1111/j.1444-0938.2009.00418.x. Epub 2009 Aug 24.

预加载和非预加载人工晶状体输送系统及其特性：人类和猪眼试验

Preloaded and non-preloaded intraocular lens delivery system and characteristics: human and porcine eyes trial.

作者信息

Chung Byunghoon, Lee Hun, Choi Moonjung, Seo Kyoung Yul, Kim Eung Kweon, Kim Tae-Im

机构信息

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul 03722, Korea.

Department of Ophthalmology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon 22711, Korea.

出版信息

Int J Ophthalmol. 2018 Jan 18;11(1):6-11. doi: 10.18240/ijo.2018.01.02. eCollection 2018.

DOI:10.18240/ijo.2018.01.02
PMID:29375983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5767650/
Abstract

AIM

To compare characteristics of preloaded and non-preloaded intraocular lens (IOL) delivery systems during IOL delivery procedures.

METHODS

Total 101 human eyes were included in this prospective observational case series. Delivery characteristics of 5 types of IOLs including iSert250 NC60 (NC60), EnVista MX60 (MX60), AcrySof IQ SN60WF (SN60WF), TECNIS ZCB00 (ZCB00), and TECNIS PCB00 (PCB00) were investigated. NC60 and PCB00 were injected preloaded delivery systems and other IOLs were injected non-preloaded systems. In the human trial, time taken from IOL loading to completion of implantation was measured in all eyes undergoing conventional cataract surgery. Using 4 excised porcine eyes, dynamics of ophthalmic viscosurgical device (OVD) between an IOL injector and a porcine eye was analyzed using fluorescein sodium-stained OVD.

RESULTS

The average time for IOL implantation was 22.0s for NC60, 43.2s for MX60, 32.3s for SN60WF, 41.4s for ZCB00, and 14.6s for PCB00 respectively. The number of cases with IOL manipulation with a second instrument was 6 for MX60, 2 for ZCB00, 0 for SN60WF, NC60, and PCB00. Amount of OVD pushed into a porcine eye was smaller with a preloaded system than with non-preloaded systems.

CONCLUSION

IOL delivery with preloaded systems is faster and more predictable. Moreover, a preloaded delivery system shows relatively less OVD pushed into a porcine eye than non-preloaded systems.

摘要

目的

比较人工晶状体（IOL）植入过程中预装式和非预装式IOL输送系统的特点。

方法

本前瞻性观察性病例系列共纳入101只人眼。研究了5种IOL的输送特性，包括iSert250 NC60（NC60）、EnVista MX60（MX60）、AcrySof IQ SN60WF（SN60WF）、TECNIS ZCB00（ZCB00）和TECNIS PCB00（PCB00）。NC60和PCB00采用预装式输送系统注入，其他IOL采用非预装式系统注入。在人体试验中，测量了所有接受传统白内障手术的眼睛从IOL装载到植入完成所需的时间。使用4只摘除的猪眼，通过荧光素钠染色的眼科粘弹剂（OVD）分析IOL注射器与猪眼之间OVD的动力学。

结果

NC60、MX60、SN60WF、ZCB00和PCB00的IOL平均植入时间分别为22.0秒、43.2秒、32.3秒、41.4秒和14.6秒。使用第二种器械进行IOL操作的病例数，MX60为6例，ZCB00为2例，SN60WF、NC60和PCB00为0例。预装式系统推入猪眼的OVD量比非预装式系统少。

结论

预装式系统进行IOL植入更快且更可预测。此外，与非预装式系统相比，预装式输送系统推入猪眼的OVD相对较少。