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矩形袢缝线矫正后房型人工晶状体的虹膜夹持。

Rectangular loop suture to correct iris capture of the posterior chamber intraocular lens.

作者信息

Lin Ke, Hu Zhixiang, Lin Zhong, Chen Tianyu, Tang Yongping, Wu Ronghan

机构信息

Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, 270 Xueyuan Road, Wenzhou, 325000, Zhejiang Province, China.

出版信息

BMC Ophthalmol. 2020 Sep 25;20(1):383. doi: 10.1186/s12886-020-01650-3.

DOI:10.1186/s12886-020-01650-3
PMID:32977792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519498/
Abstract

BACKGROUND

To report a new technique for iris capture of the posterior chamber intraocular lens (IOL) implanted in patients with a posterior capsule defect.

METHODS

In this retrospective case series, a rectangular loop ciliary body suture technique was performed to rectify iris capture. The suture passes between the IOL and iris in a direction perpendicular to the iris edge capturing the IOL.

RESULTS

A total of three IOLs with iris capture underwent a rectangular loop suture technique. No recapture was observed postoperatively. In one case, large astigmatism appeared after the surgery but recovered at 1 month post operation. No further complications were found.

CONCLUSIONS

The rectangular loop suture technique is an effective, convenient, and minimally invasive method for iris capture of the IOL.

摘要

背景

报告一种用于捕获植入有后囊缺损患者眼中的后房型人工晶状体（IOL）的虹膜的新技术。

方法

在这个回顾性病例系列中，采用矩形环睫状体缝合技术来矫正虹膜捕获。缝线在人工晶状体和虹膜之间以垂直于捕获人工晶状体的虹膜边缘的方向穿过。

结果

共有3个发生虹膜捕获的人工晶状体接受了矩形环缝合技术。术后未观察到再次捕获。1例患者术后出现大散光，但在术后1个月恢复。未发现进一步的并发症。

结论

矩形环缝合技术是一种有效、方便且微创的捕获人工晶状体虹膜的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/2fb199f838dc/12886_2020_1650_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/a4589d63a73a/12886_2020_1650_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/39c1fd032f06/12886_2020_1650_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/900a78a2c20b/12886_2020_1650_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/2fb199f838dc/12886_2020_1650_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/a4589d63a73a/12886_2020_1650_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/39c1fd032f06/12886_2020_1650_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/900a78a2c20b/12886_2020_1650_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/7519498/2fb199f838dc/12886_2020_1650_Fig4_HTML.jpg

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Ophthalmology. 2020 Sep;127(9):1234-1258. doi: 10.1016/j.ophtha.2020.03.005. Epub 2020 Jun 5.
2
Sutureless Intrascleral Haptic-Hook Lens Implantation Using 25-Gauge Trocars.使用25G套管针进行无缝合巩膜内触觉钩状晶状体植入术。
J Ophthalmol. 2018 Dec 27;2018:9250425. doi: 10.1155/2018/9250425. eCollection 2018.
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Risk factors for and management of pupillary intraocular lens capture after intraocular lens transscleral fixation.
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J Cataract Refract Surg. 2017 Dec;43(12):1557-1562. doi: 10.1016/j.jcrs.2017.08.021.
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Influence of across-pupil sutures on the optical quality of intraocular lenses.
Int Ophthalmol. 2018 Jun;38(3):909-915. doi: 10.1007/s10792-016-0441-y. Epub 2017 Feb 4.
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