Day H Russell, Durrani Alia K, Kim Stephen J, Patel Shriji
Vanderbilt University School of Medicine, Nashville, TN, USA.
Retina Institute of St Louis, St Louis, MO, USA.
J Vitreoretin Dis. 2019 Dec 31;4(2):119-124. doi: 10.1177/2474126419895691. eCollection 2020 Mar-Apr.
The authors aim to describe the visual outcomes and postoperative complications of concurrent pars plana vitrectomy and scleral-fixated intraocular lens (IOL) placement using Gore-Tex suture.
A retrospective review of medical records was performed on 27 eyes of 27 patients undergoing concurrent pars plana vitrectomy and scleral-fixated IOL with Gore-Tex suture. Outcome measures were change in preoperative and postoperative visual acuity, final manifest refraction, and incidence of intraoperative and postoperative complications.
The mean age was 69.2 ± 11.3 years; there were 16 male patients (59%). The duration of follow-up ranged from 33 to 576 days with a mean of 200 ± 143 days. All patients received Bausch + Lomb Akreos AO60 IOL. The overall mean best-corrected visual acuity in Snellen equivalent improved from 20/276 preoperatively to 20/44 postoperatively ( < .001). The mean postoperative manifest spherical equivalent refraction was -0.35 ± 1.34 diopters (D). Seventy-five percent of eyes were ± 1.0 D of target refraction. Postoperative complications included corneal edema (26.0%), ocular hypertension (25.9%), hypotony (7.4%), cystoid macular edema (7.4%), vitreous hemorrhage (7.4%), and hyphema (3.7%). No cases of suture breakage, IOL dislocation, retinal detachment, or uveitis-glaucoma-hyphema syndrome were identified.
The use of Gore-Tex suture for posterior chamber IOL fixation resulted in favorable outcomes. No suture-related complications occurred during the follow-up period. Final refraction in this setting is typically within ± 1.0 D of target.
作者旨在描述使用戈尔特斯缝线同时进行玻璃体平坦部玻璃体切除术和巩膜固定人工晶状体（IOL）植入术的视觉效果和术后并发症。
对27例患者的27只眼睛进行回顾性病历分析，这些患者同时接受了玻璃体平坦部玻璃体切除术和使用戈尔特斯缝线的巩膜固定IOL植入术。观察指标包括术前和术后视力变化、最终的显验光以及术中及术后并发症的发生率。
平均年龄为69.2±11.3岁；男性患者16例（59%）。随访时间为33至576天，平均为200±143天。所有患者均接受了博士伦Akreos AO60 IOL。总体平均最佳矫正视力（以Snellen等效视力表示）从术前的20/276提高到术后的20/44（P<.001）。术后平均显验光球镜等效度为-0.35±1.34屈光度（D）。75%的眼睛屈光度在目标屈光度±1.0 D范围内。术后并发症包括角膜水肿（26.0%）、高眼压（25.9%）、低眼压（7.4%）、黄斑囊样水肿（7.4%）、玻璃体积血（7.4%）和前房积血（3.7%）。未发现缝线断裂、IOL脱位、视网膜脱离或葡萄膜炎-青光眼-前房积血综合征的病例。
使用戈尔特斯缝线进行后房型IOL固定取得了良好的效果。随访期间未发生与缝线相关的并发症。在此情况下最终屈光度通常在目标屈光度±1.0 D范围内。
