Abed Edoardo, Forlini Matteo, Bendo Edlira, Imburgia Aurelio, Mularoni Alessandro, Gizzi Corrado, Santino Giuseppe, Corazza Daniele, Costa Giacomo
Department of Ophthalmology, Morgagni Pierantoni Hospital, Forlì, Italy.
Department of Ophthalmology, San Marino State Hospital, Cailungo, San Marino.
J Ophthalmol. 2021 Aug 26;2021:3838456. doi: 10.1155/2021/3838456. eCollection 2021.
To assess one year results and stability of the implantation of a scleral anchored intraocular lens (IOL).
Interventional prospective case series.
Sixty eyes of 60 patients affected by either aphakia or IOL dislocation were included in this study. Patients underwent vitrectomy, scleral fixation of the IOL, and, if present, dislocated IOL removal. Patients were evaluated preoperatively and at 1, 3, 6, and 12 months after surgery by best-corrected distance visual acuity (BCVA) assessment, intraocular pressure (IOP) measurement, corneal specular microscopy, and optical coherence tomography (OCT) of both the macula and anterior segment.
At twelve months, mean BCVA significantly improved ( < 0.0001), and none of the patients experienced a decrease of visual acuity. A 10% decrease of endothelial cell count occurred after surgery. Cystoid macular edema occurred in three patients (5%). A transient increase of intraocular pressure was noted in 7 cases (12%). At one month, horizontal and vertical IOL tilt was 1.04 ± 0.87 and 0.74 ± 0.71 degrees, respectively, and did not significantly change in the follow-up ( > 0.05). None of the patients had decentration or dislocation of scleral-fixated IOL during the follow-up.
Implantations of scleral plug fixated IOL provide good visual results, low complication rate, and excellent stability of the lens until one-year follow-up.
评估巩膜固定人工晶状体（IOL）植入的一年结果及稳定性。
前瞻性干预性病例系列研究。
本研究纳入了60例患有无晶状体眼或人工晶状体脱位的患者的60只眼。患者接受了玻璃体切除术、人工晶状体巩膜固定术，如有脱位的人工晶状体则将其取出。术前及术后1、3、6和12个月通过最佳矫正远视力（BCVA）评估、眼压（IOP）测量、角膜内皮显微镜检查以及黄斑和眼前节的光学相干断层扫描（OCT）对患者进行评估。
在12个月时，平均BCVA显著改善（<0.0001），且没有患者视力下降。术后内皮细胞计数下降了10%。3例患者（5%）发生了黄斑囊样水肿。7例患者（12%）出现眼压短暂升高。在1个月时，人工晶状体的水平和垂直倾斜度分别为1.04±0.87度和0.74±0.71度，在随访期间无显著变化（>0.05）。随访期间没有患者出现巩膜固定人工晶状体的偏心或脱位。
巩膜塞固定人工晶状体植入术在一年随访期内可提供良好的视觉效果、低并发症发生率及出色的晶状体稳定性。
