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当前后房有晶状体眼人工晶状体取出的病因和结果。

Etiology and outcomes of current posterior chamber phakic intraocular lens extraction.

机构信息

Department of Ophthalmology, School of Medicine, Kitasato University, Kanagawa, Japan.

Visual Physiology, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa, 252-0373, Japan.

出版信息

Sci Rep. 2020 Dec 10;10(1):21686. doi: 10.1038/s41598-020-78661-z.

DOI:10.1038/s41598-020-78661-z
PMID:33303807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7730447/
Abstract

This study was aimed to review the etiology and the outcomes of current posterior chamber phakic intraocular lens (Visian ICL, STAAR Surgical) extraction. This review comprised 770 eyes of 403 consecutive patients undergoing ICL extraction. We evaluated prevalence, etiology, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), predictability, and patient satisfaction. ICL extraction was required in 8 of 770 (1.0%) eyes. The most common reason was the progression of the pre-existing cataract formation in 5 eyes (63%), followed by residual refractive errors in 3 eyes (38%). Of the 7 eyes targeted for emmetropia, 7 (100%) and 6 (86%) achieved UDVAs of 20/40 and 20/20 or better, respectively. Three eyes (38%) showed no change in CDVA, 3 eyes (38%) gained 1 line, 2 eyes (25%) gained 3 or more lines. 88% and 100% were within ± 0.5 and 1.0 diopter (D), respectively, of the targeted correction. Patient satisfaction improved significantly, from 3.0 ± 1.4 preoperatively, to 8.0 ± 2.4 postoperatively. No vision-threatening complications occurred. ICL extraction was required in approximately 1% of ICL-implanted eyes. Visual and refractive outcomes were good, and patient satisfaction was overall high, even in ICL-extracted eyes.

摘要

本研究旨在回顾当前后房型有晶状体眼人工晶状体（Visian ICL，STAAR Surgical）取出的病因和结果。本综述包括 403 例连续患者的 770 只眼接受 ICL 取出。我们评估了患病率、病因、未矫正远视力（UDVA）、矫正远视力（CDVA）、可预测性和患者满意度。770 只眼中有 8 只（1.0%）需要进行 ICL 取出。最常见的原因是 5 只眼（63%）的预先存在的白内障形成进展，其次是 3 只眼（38%）的残余屈光不正。在 7 只旨在矫正近视的眼中，7 只（100%）和 6 只（86%）分别达到了 20/40 和 20/20 或更好的 UDVA。3 只眼（38%）的 CDVA 无变化，3 只眼（38%）增加了 1 行，2 只眼（25%）增加了 3 行或更多行。88%和 100%分别在目标矫正的±0.5 和 1.0 屈光度（D）范围内。患者满意度显著提高，从术前的 3.0±1.4 提高到术后的 8.0±2.4。没有发生威胁视力的并发症。大约 1%的 ICL 植入眼需要进行 ICL 取出。视力和屈光结果良好，患者总体满意度高，即使在 ICL 取出的眼中也是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/ae6adcefcc4b/41598_2020_78661_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/0e904856e27e/41598_2020_78661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/69ed6e533b75/41598_2020_78661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/1eee2351d822/41598_2020_78661_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/ae6adcefcc4b/41598_2020_78661_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/0e904856e27e/41598_2020_78661_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/69ed6e533b75/41598_2020_78661_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/1eee2351d822/41598_2020_78661_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b6/7730447/ae6adcefcc4b/41598_2020_78661_Fig4_HTML.jpg

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