Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel, Affiliated with the Hebrew University and Hadassah Medical Center, Jerusalem, Israel.
Department of Ophthalmology, Edith Wolfson Medical Center, Holon, Israel, Affiliated with the Tel Aviv University Tel Aviv, Israel.
Indian J Ophthalmol. 2021 Dec;69(12):3511-3514. doi: 10.4103/ijo.IJO_576_21.
To describe our results with the AssiAnchor capsule device in cases of subluxated crystalline lenses.
This was a retrospective consecutive case series. Seven eyes of four patients with subluxated crystalline lenses underwent lensectomy/phacoemulsification with intraocular lens (IOL) implantation using the AssiAnchor capsule device in the Kaplan medical center, ophthalmology department. Three patients had Marfan syndrome and one patient had experienced blunt trauma. Demographic data were collected as well as parameters of pre- and postoperative distance visual acuity and refraction, intra-, and postoperative complications, and IOL stability and centration.
Six out of the seven surgical procedures were uneventful with in-the-bag implantation of the IOL. In the first surgery, a tear of the capsular bag lead to IOL exchanging and fixating to the AssiAnchor and to the iris. In the traumatic cataract case, two AssiAnchors were used. A capsular tension ring was implanted in six out of seven surgeries. The average follow-up time was 9.5 ± 6.8 months. All the IOLs were stable and well centered except for the first IOL that exhibited a slight temporal, but not clinically significant, decentration. The distance visual acuity and the refractive parameters improved significantly in all cases.
We found the AssiAnchor capsule device an effective tool with a short learning curve for treating subluxated lenses.
描述我们使用 AssiAnchor 胶囊装置治疗晶状体半脱位的结果。
这是一项回顾性连续病例系列研究。在 Kaplan 医疗中心眼科,使用 AssiAnchor 胶囊装置对 4 名晶状体半脱位患者的 7 只眼进行晶状体切除/超声乳化联合人工晶状体(IOL)植入。3 名患者患有马凡综合征,1 名患者曾遭受钝挫伤。收集了人口统计学数据以及术前和术后远距离视力和屈光度、术中及术后并发症以及 IOL 稳定性和中心定位参数。
7 例手术中有 6 例顺利进行,IOL 植入在囊袋内。第一例手术中,囊袋撕裂导致 IOL 更换并固定在 AssiAnchor 和虹膜上。在创伤性白内障病例中,使用了两个 AssiAnchors。6 例手术中植入了囊袋张力环。平均随访时间为 9.5±6.8 个月。除第一例 IOL 出现轻微的颞侧偏心(但无临床意义)外,所有 IOL 均稳定且居中良好。所有病例的远距离视力和屈光参数均显著改善。
我们发现 AssiAnchor 胶囊装置是一种治疗晶状体半脱位的有效工具,具有较短的学习曲线。