Sahin Vural Gozde, Guven Yusuf Ziya, Karahan Eyyup, Zengin Mehmet Ozgur
Department of Ophthalmology, Balıkesir University Medicine Faculty, Balıkesir, Turkey.
Department of Ophthalmology, Izmir Katip Celebi University, Izmir, Turkey.
Eur J Ophthalmol. 2023 Nov;33(6):2210-2216. doi: 10.1177/11206721231167198. Epub 2023 Apr 10.
To describe the clinical and refractive outcomes of Yamane transconjunctival sutureless intrascleral intraocular lens (SIS IOL) fixation technique in aphakic and dislocated IOLs.
The aphakic and IOL dispositioned patients who underwent Yamane surgery in Bozyaka Research and Training Hospital were evaluated retrospectively. The demographic data, preoperative & postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), indication for surgery, additional surgical interventions, complications, the final status of retina, and central macular thickness (CMT) through spectral-domain optic coherence tomography (SD-OCT) were recorded.
A total of 30 eyes of 30 patients were evaluated. The indication for surgery was aphakia in 24 patients, lens dislocation in 1 patient, and IOL dislocation in 5 patients. The mean age of participants was 64.17 ± 14.69 years, and the mean follow-up was 46.07 ± 7.96 months. The mean BCVA was improved from 0.25 ± 0.22 (-0.94 ± 0.83 log MAR) to 0.49 ± 0.24 in decimals (-0.37 ± 0.27 log MAR) (p:0.041). The mean subjective refraction improved from 10.06 ± 3.10 to -1.45 ± 0.73 D in the final visit (p < 0.05). The mean of cylindrical refraction was -1.22 ± 1.03 D in the postoperative period. At the time surgery, 36.6% of patients required at least one additional surgical procedure. During follow-up period, two (6.7%) out of 30 of patients had retinal detachment, two of the patients (6.7%) occured epiretinal membrane, one of the patients (3.3%) had cystoid macular edema.
Yamane SIS IOL fixation technique is an effective and reliable surgical option in complicated cases that require additional surgical interventions in long-term follow-up.
描述八峰经结膜无缝线巩膜内人工晶状体（SIS IOL）固定技术在无晶状体眼和人工晶状体脱位病例中的临床及屈光效果。
对在博兹亚卡研究与培训医院接受八峰手术的无晶状体眼和人工晶状体移位患者进行回顾性评估。记录人口统计学数据、术前及术后最佳矫正视力（BCVA）、等效球镜度（SE）、手术指征、额外的手术干预、并发症、视网膜最终状态以及通过频域光学相干断层扫描（SD - OCT）测量的中心黄斑厚度（CMT）。
共评估了30例患者的30只眼。手术指征为24例无晶状体眼、1例晶状体脱位和5例人工晶状体脱位。参与者的平均年龄为64.17±14.69岁，平均随访时间为46.07±7.96个月。平均BCVA从0.25±0.22（-0.94±0.83 log MAR）提高到小数形式的0.49±0.24（-0.37±0.27 log MAR）（p：0.041）。末次随访时平均主观验光从10.06±3.10改善至-1.45±0.73 D（p＜0.05）。术后柱镜验光平均值为-1.22±1.03 D。手术时，36.6%的患者需要至少一项额外的手术操作。随访期间，30例患者中有2例（6.7%）发生视网膜脱离，2例患者（6.7%）出现视网膜前膜，1例患者（3.3%）发生黄斑囊样水肿。
八峰SIS IOL固定技术在长期随访中需要额外手术干预的复杂病例中是一种有效且可靠的手术选择。
