Department of Ophthalmology, Catholic University of Sacred-Heart Foundation "Policlinico Universitario A. Gemelli" IRCCS, Rome, Italy; and.
Department of NEUROFARBA, Ophthalmology, University of Florence, Careggi, Florence, Italy.
Retina. 2023 Nov 1;43(11):2034-2036. doi: 10.1097/IAE.0000000000003338.
To describe and evaluate the effectiveness of the modified Carlevale intraocular lens (IOL) fixation technique, using two vitrectomy ports as lens plug fixation sites.
This prospective, consecutive, interventional study examined 60 eyes in 60 patients, who underwent 25- or 23-gauge vitrectomy for an IOL subluxation/luxation, lens dislocation, or aphakia, with Carlevale IOL implantation.
Postoperatively, transient ocular hypotension was observed in four eyes. The mean refractive prediction error was -0.27 ± 0.78 diopters. No postoperative complications, such as retinal detachment, endophthalmitis, or IOL dislocation, were observed in the 4-month follow-up.
This new technique may be simple, fast, and effective because of fewer scleral wounds and fewer postoperative complications.
描述并评估使用两个玻璃体切割端口作为晶状体塞固定部位的改良 Carlevale 人工晶状体（IOL）固定技术的效果。
这是一项前瞻性、连续、干预性研究，共纳入 60 例 60 只眼患者，这些患者因 IOL 半脱位/脱位、晶状体脱位或无晶状体而接受 25 或 23G 玻璃体切割术，并植入 Carlevale IOL。
术后 4 只眼出现短暂性眼压降低。平均屈光度预测误差为-0.27 ± 0.78 屈光度。在 4 个月的随访中，未观察到视网膜脱离、眼内炎或 IOL 脱位等术后并发症。
由于巩膜伤口较少且术后并发症较少，该新技术可能简单、快速且有效。
