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MYX技术:一种对山根技术和眼外针引导触觉插入技术进行改良后的适应性技术,用于巩膜固定人工晶状体植入。

MYX technique: A modified adaptation of Yamane and extraocular needle-guided haptic insertion techniques for scleral-fixated intraocular lens implantation.

作者信息

Bhatia Karan, Manaktala Ruchita, Sachdev Mahipal, Tank Nikunj, Saha Indranil, Mishra Deepak

机构信息

Regional Institute of Ophthalmology, Sitapur Eye Hospital, Sitapur, Uttar Pradesh, India.

Centre for Sight, Delhi, India.

出版信息

Indian J Ophthalmol. 2021 Feb;69(2):428-431. doi: 10.4103/ijo.IJO_728_20.

DOI:10.4103/ijo.IJO_728_20
PMID:33463604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933830/
Abstract

Scleral-fixated intraocular lens implantation in an important tool in the armamentarium of an ophthalmologist for managing aphakia. Various techniques have been described in the literature with variable learning curves. Herein, we describe an easy, fast, reproducible technique; the "MYX" technique, which utilizes the advantages of both the Yamane and the X-NIT technique, where the handshaking of the prolene haptic of a 3-piece PMMA IOL into the lumen of a 26-gauge needle is done externally (like in X-NIT technique), and the exteriorized haptic is cauterized to form a flange transconjunctivally, thereby avoiding the scleral pocket tucking (like Yamane technique), to achieve excellent surgical outcomes.

摘要

巩膜固定人工晶状体植入术是眼科医生治疗无晶状体眼的重要手段。文献中描述了各种技术,其学习曲线各不相同。在此,我们描述一种简便、快速、可重复的技术;“MYX”技术,它利用了Yamane技术和X-NIT技术的优点,即三件式PMMA人工晶状体的聚丙烯襻在26号针管腔内的握手操作在外部进行(如X-NIT技术),并且将外露的襻经结膜进行烧灼以形成一个凸缘,从而避免巩膜袋折叠(如Yamane技术),以获得优异的手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/ee38c86f4f4c/IJO-69-428-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/305c0297dbcf/IJO-69-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/ae42ee65a524/IJO-69-428-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/3f243877ccb4/IJO-69-428-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/ee38c86f4f4c/IJO-69-428-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/305c0297dbcf/IJO-69-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/ae42ee65a524/IJO-69-428-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/3f243877ccb4/IJO-69-428-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f46/7933830/ee38c86f4f4c/IJO-69-428-g004.jpg

相似文献

1
MYX technique: A modified adaptation of Yamane and extraocular needle-guided haptic insertion techniques for scleral-fixated intraocular lens implantation.MYX技术:一种对山根技术和眼外针引导触觉插入技术进行改良后的适应性技术,用于巩膜固定人工晶状体植入。
Indian J Ophthalmol. 2021 Feb;69(2):428-431. doi: 10.4103/ijo.IJO_728_20.
2
A novel Yamane technique modification: Reverse intraocular lens implantation for simplifying trailing haptic insertion.一种新型山根技术改良:反向人工晶状体植入术简化了后襻的插入。
Indian J Ophthalmol. 2023 May;71(5):2244-2246. doi: 10.4103/IJO.IJO_3158_22.
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Extraocular needle- guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT).巩膜固定人工晶状体手术的眼外针引导触觉插入技术(X-NIT)。
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Sutureless transconjunctival intrascleral intraocular lens fixation: the modified Yamane technique.无缝合经结膜巩膜内人工晶状体固定术:改良矢根技术。
Arq Bras Oftalmol. 2019 Jun 3;82(5):389-393. doi: 10.5935/0004-2749.20190072.
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S-FIX: A sutured way of doing sutureless SFIOL surgeries beyond X-NIT!S-FIX:超越 X-NIT 的无针线缝合巩膜扣带术的缝合方法!
Indian J Ophthalmol. 2024 Jan 1;72(1):152. doi: 10.4103/IJO.IJO_1153_23. Epub 2023 Dec 22.
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Modified Yamane technique with a 26-gauge needle: single corneal incision and simplified haptic insertion.改良的 Yamane 技术联合 26G 针头:单角膜切口和简化的襻插入。
J Cataract Refract Surg. 2022 Jan 1;48(1):e1-e4. doi: 10.1097/j.jcrs.0000000000000816.
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Commentary: MYX technique: Best of both worlds - combining extraocular needle-guided haptic insertion and Yamane techniques in aphakia management.评论:MYX技术:两全其美——在无晶状体眼处理中结合眼外针引导触觉插入和山根技术。
Indian J Ophthalmol. 2021 Feb;69(2):431-432. doi: 10.4103/ijo.IJO_2376_20.
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Needle-guided intrascleral fixation of posterior chamber intraocular lens for aphakia correction.经皮巩膜缝线固定后房型人工晶状体治疗无晶状体眼。
J Cataract Refract Surg. 2009 Dec;35(12):2051-3. doi: 10.1016/j.jcrs.2009.06.044.
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Intrascleral haptic fixation for haptic exposure after Yamane technique.经 Yamane 技术后巩膜隧道内虹膜夹固定以暴露虹膜夹
BMJ Case Rep. 2021 Aug 17;14(8):e243627. doi: 10.1136/bcr-2021-243627.
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Comparison of two techniques in posterior lens dislocations: Scleral suture fixation vs. modified Yamane intrascleral lens fixation.两种后发性白内障晶状体脱位治疗技术的比较:巩膜缝线固定术与改良 Yamane 巩膜内晶状体固定术。
J Fr Ophtalmol. 2022 Jan;45(1):13-19. doi: 10.1016/j.jfo.2021.09.009. Epub 2021 Dec 20.

引用本文的文献

1
A novel surgical approach for fixation of a posterior chamber intraocular lens of Rayner 620 H with Gore-Tex suture.一种新型手术入路固定 Rayner 620H 后房型人工晶状体与 Gore-Tex 缝线。
BMC Ophthalmol. 2023 Jan 12;23(1):20. doi: 10.1186/s12886-022-02759-3.
2
Commentary: MYX technique: Best of both worlds - combining extraocular needle-guided haptic insertion and Yamane techniques in aphakia management.评论:MYX技术:两全其美——在无晶状体眼处理中结合眼外针引导触觉插入和山根技术。
Indian J Ophthalmol. 2021 Feb;69(2):431-432. doi: 10.4103/ijo.IJO_2376_20.

本文引用的文献

1
Retropupillary iris-claw intraocular lens implantation in aphakic patients.无晶状体眼患者的瞳孔后虹膜夹型人工晶状体植入术。
Indian J Ophthalmol. 2020 Apr;68(4):597-602. doi: 10.4103/ijo.IJO_1043_19.
2
Extraocular needle- guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT).巩膜固定人工晶状体手术的眼外针引导触觉插入技术(X-NIT)。
Indian J Ophthalmol. 2017 Aug;65(8):747-750. doi: 10.4103/ijo.IJO_296_17.
3
Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique.带边巩膜内眼晶状体固定双针技术。
Ophthalmology. 2017 Aug;124(8):1136-1142. doi: 10.1016/j.ophtha.2017.03.036. Epub 2017 Apr 27.
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Sutureless intrascleral posterior chamber intraocular lens fixation.无缝合巩膜内后房型人工晶状体固定术
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Scleral fixation using suture retrieval through a scleral tunnel.通过巩膜隧道进行缝线取出的巩膜固定术。
J Cataract Refract Surg. 2006 Aug;32(8):1259-63. doi: 10.1016/j.jcrs.2006.02.065.
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Ab externo sulcus fixation.外侧沟固定术。
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