From the Ningbo Eye Hospital, Ningbo, Zhejiang, China (Yi, S.-J. Wu, G.-H. Wu, Wang, Gong); The School of Medicine, Ningbo University, Ningbo, Zhejiang, China (Ying); Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China (Su).
J Cataract Refract Surg. 2022 Jul 1;48(7):859-862. doi: 10.1097/j.jcrs.0000000000000969.
A technique using the single-string, closed-loop fixation method to reposit dislocated triple-looped haptic intraocular lens (IOL)-capsular bag complex is described. The long needle or curved needle with a 10-0/8-0 polypropylene suture and a 27/30-gauge needle were used as the guide needle to pass through the fenestrated haptics twice. The scleral interlaminar course was used as the fixed point. Last, a fixation knot was created in the sclerotomy by the 2 ends of the thread to close the suture loop for IOL fixation. Another knot was created about 2 to 3 mm from the exit point and was intrasclerally anchored by the aid of the attached needle. 4 eyes from 4 consecutive patients were studied retrospectively; during all follow-up visits, the IOLs were well centered and stable, and no suture erosion, hypotony, scleral atrophy, chronic inflammation, retinal tears, and/or detachments were observed.
描述了一种使用单根、闭环固定方法来复位脱位的三袢触觉人工晶状体（IOL）-囊袋复合体的技术。长针或弯针用 10-0/8-0 聚丙烯缝线和 27/30 号针作为引导针，两次穿过开窗的襻。将巩膜层间通道用作固定点。最后，通过缝线的两端在巩膜切开处形成固定结，以闭合缝线环进行 IOL 固定。在出口点附近约 2 至 3 毫米处再形成一个结，并通过附加的针在巩膜内固定。回顾性研究了 4 例连续患者的 4 只眼；在所有随访中，IOL 均居中且稳定，未观察到缝线侵蚀、低眼压、巩膜萎缩、慢性炎症、视网膜裂孔和/或脱离。
