Department of Ophthalmology, Suwon Hospital, Gyeonggi Provincial Medical Center, Suwon, South Korea.
Department of Ophthalmology, College of Medicine, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
Sci Rep. 2021 Feb 16;11(1):3904. doi: 10.1038/s41598-021-81924-y.
We describe a simply modified intrascleral fixation using round flange (SMURF) technique and report the clinical outcomes of the surgery. Forty-one eyes of 41 consecutive patients, with intraocular lens (IOL) dislocation, crystalline lens subluxation, and zonular weakness, who underwent surgery using the SMURF technique were included. The modified technique included the use of a conventional 27-gauge needle, a non-bent needle, oblique sclerotomy, direct threading of the leading haptic, and simple placement of the following haptic. IOLs were successfully placed and showed good centring. There were no cases of wound leakage or hypotony during the early postoperative period. Postoperative complications included vitreous haemorrhage in one eye (2.4%), intraocular pressure elevation in one eye (2.4%), and iris capture in six eyes (14.6%). There were no cases of postoperative retinal detachment, cystoid macular oedema, endophthalmitis, or IOL dislocation during the follow-up period. We proposed a few modifications in the intrascleral flanged technique for IOL fixation. The modified technique is a simple, easy, and minimally invasive procedure for successful IOL intrascleral fixation.
我们描述了一种简单改良的巩膜内固定术（SMURF）技术，并报告了该手术的临床结果。41 例连续患者（41 只眼），因晶状体脱位、晶状体半脱位和悬韧带薄弱而行该技术手术，包括使用常规 27G 针头、非弯曲针头、斜巩膜切开术、引导襻的直接穿线以及简单放置后襻。人工晶状体成功植入并显示出良好的居中。早期无一例伤口渗漏或低眼压。术后并发症包括一只眼（2.4%）玻璃体出血、一只眼（2.4%）眼压升高和六只眼（14.6%）虹膜嵌顿。随访期间无视网膜脱离、黄斑囊样水肿、眼内炎或人工晶状体脱位。我们对巩膜瓣技术的人工晶状体固定术提出了一些改良。改良技术是一种简单、容易和微创的人工晶状体巩膜内固定术。
