Department of Ophthalmology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; and.
NJRetina, New Brunswick, New Jersey.
Retina. 2020 May;40(5):833-837. doi: 10.1097/IAE.0000000000002456.
To report the 1-year outcomes of a novel surgical technique for the fixation of a CZ70BD intraocular lens with Gore-Tex suture using cow-hitch knots.
A retrospective chart review of 15 patients (13 men and 2 women) who underwent fixation of a posterior chamber intraocular lens with Gore-Tex suture was performed. Short- and long-term outcomes data were collected 1 month and 1 year after surgery, respectively.
Fourteen of the 15 patients met inclusion criteria and were included in the analysis. Mean visual acuity improved significantly from Snellen 20/491 preoperatively to Snellen 20/59 at postoperative month 12 (P = 0.002). The most common short-term complications included increased intraocular pressure (n = 6) and cystoid macular edema (n = 4). The most common long-term complications included increased intraocular pressure (n = 2) and iris capture of the intraocular lens (n = 2).
One-year outcome data suggest that this technique is a reasonable surgical option for secondary intraocular lens placement in patients who lack capsular support.
报告一种使用戈尔 Gore-Tex 缝线和牛鼻结固定 CZ70BD 人工晶状体的新型手术技术的 1 年结果。
对 15 名患者(13 名男性和 2 名女性)进行了回顾性图表分析,这些患者接受了使用戈尔 Gore-Tex 缝线固定后房人工晶状体的手术。分别在术后 1 个月和 1 年收集短期和长期结果数据。
15 名患者中有 14 名符合纳入标准并纳入分析。平均视力从术前 Snellen 20/491 显著提高到术后 12 个月的 Snellen 20/59(P = 0.002)。最常见的短期并发症包括眼压升高(n = 6)和囊样黄斑水肿(n = 4)。最常见的长期并发症包括眼压升高(n = 2)和人工晶状体虹膜捕获(n = 2)。
1 年的结果数据表明,对于缺乏囊袋支持的患者,这种技术是二次人工晶状体放置的合理手术选择。