巩膜缝线固定术治疗脱位的硅酮人工晶状体襻
SCLERAL SUTURE FIXATION FOR DISLOCATED SILICONE PLATE HAPTIC INTRAOCULAR LENS.
机构信息
Bascom Palmer Eye Institute, University of Miami, Miami, Florida.
出版信息
Retina. 2023 Dec 1;43(12):2057-2058. doi: 10.1097/IAE.0000000000003561.
PURPOSE
To describe results in two cases of a dislocated silicone plate haptic intraocular lens managed with vitrectomy and repositioning with scleral suture fixation.
METHODS
Small case series.
RESULTS
Two patients presenting with dislocated silicone plate haptic intraocular lens underwent a 23-gauge vitrectomy with a "handshake" maneuver to pass a 9-0 prolene suture through the positioning holes to allow scleral fixation. Best-corrected visual acuity was returned to predislocation Level 2 and 8 months after the vitrectomy.
CONCLUSION
Silicone plate haptic intraocular lens can be managed with scleral suture fixation using this adapted technique, avoiding removal and exchange techniques. These are the first reported cases of silicone plate haptic intraocular lens managed with scleral suture repositioning.
目的
描述 2 例经玻璃体切割术和巩膜缝线固定复位治疗的脱位硅橡胶板式人工晶状体的结果。
方法
小病例系列。
结果
2 例硅橡胶板式人工晶状体脱位患者行 23G 玻璃体切割术，采用“握手”手法将 9-0 prolene 缝线穿过定位孔，以便进行巩膜固定。最佳矫正视力恢复至脱位前 2 级，玻璃体切割术后 8 个月。
结论
采用这种改良技术，硅橡胶板式人工晶状体可通过巩膜缝线固定复位进行处理，避免了取出和更换技术。这些是首例报道的采用巩膜缝线重新定位处理的硅橡胶板式人工晶状体病例。
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