不固定袢的简单经巩膜固定人工晶状体技术
Simple transscleral fixation of IOL technique without tying up haptics.
作者信息
Lee Junsung, Jang Jae-Yong, Ji Yong-Sok
机构信息
Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of Korea.
Parangsae Eye Clinic, Gwangju 61489, Republic of Korea.
出版信息
Int J Ophthalmol. 2020 Jul 18;13(7):1152-1155. doi: 10.18240/ijo.2020.07.20. eCollection 2020.
AIM
To introduce a novel technique for transscleral fixation of the posterior chamber intraocular lens (PC-IOL) that requires no sutures on the IOL haptics.
METHODS
Instead of suturing polypropylene onto the IOL haptics, the method simply winds the thread on the haptics. Fifteen eyes of 15 patients underwent this technique and were followed up for more than 18mo. Surgical outcomes and post-operative complications were evaluated and compared with those of the conventional transscleral fixation method.
RESULTS
Postoperative cylinder was significantly lower in the thread winding group than in the conventional transscleral fixation method group (-1.02±0.46 diopters -1.57±0.77 diopters; =0.01). Further, no postoperative complications, such as optic capture, IOL dislocation, and hyphema, were detected in the thread winding group.
CONCLUSION
We believe that our thread winding technique is better than previously reported methods because it is simple, mechanically stable, and free from suture-related complications.
目的
介绍一种用于后房型人工晶状体（PC-IOL）经巩膜固定的新技术，该技术无需在人工晶状体襻上缝合。
方法
该方法不是将聚丙烯缝合到人工晶状体襻上，而是简单地将线缠绕在襻上。15例患者的15只眼接受了该技术，并随访超过18个月。评估手术结果和术后并发症，并与传统经巩膜固定方法进行比较。
结果
线缠绕组术后柱镜度数明显低于传统经巩膜固定方法组（-1.02±0.46屈光度 vs -1.57±0.77屈光度；P=0.01）。此外，线缠绕组未检测到术后并发症，如光学部捕捉、人工晶状体脱位和前房积血。
结论
我们认为我们的线缠绕技术优于先前报道的方法，因为它简单、机械稳定且无缝合相关并发症。
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