Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France.
Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France.
J Fr Ophtalmol. 2021 Sep;44(7):957-961. doi: 10.1016/j.jfo.2020.10.025. Epub 2021 Jun 19.
We report our experience in the surgical technique of sutureless intrascleral posterior chamber intraocular lens (PC IOL) fixation in patients with insufficient capsular support using a uniquely designed, foldable, acrylic Carlevale IOL. It is specifically designed for sutureless scleral fixation and is equipped with a small plug attached to each of two haptics to anchor the lens to the sclera with a self-retaining mechanism. This surgery does not require creation of a scleral tunnel or transscleral exposure or excessive manipulation of the haptics. The harpoon-like plugs provide great stability to this implant, which can be injected through a 2.2mm incision. The characteristics of this IOL and the relative simplicity of this implantation technique makes it widely applicable in aphakic patients after previous complicated cataract surgery.
我们报告了在使用独特设计的折叠式丙烯酸 Carlevale 人工晶状体（IOL）对缺乏囊袋支撑的患者进行无缝线巩膜后房人工晶状体（PC IOL）固定的手术技术经验。该人工晶状体专门设计用于无缝线巩膜固定，并在每个襻的末端配备一个小塞子，通过自固定机制将晶状体固定在巩膜上。这种手术不需要制作巩膜隧道或经巩膜暴露，也不需要对襻进行过度操作。这种类似鱼叉的塞子为这种植入物提供了极大的稳定性，它可以通过 2.2mm 的切口注射。这种 IOL 的特点和相对简单的植入技术使得它在先前复杂白内障手术后无晶状体的患者中广泛适用。
