Rocha-de-Lossada Carlos, García-Lorente María, La Cruz Diego Zamora-de, Rodríguez-Calvo-de-Mora Marina, Fernández Joaquín
Ophthalmology Department, Clínica QVision, Vithas Almería, Almería, Spain.
Ophthalmology Department, Vithas Málaga, Malaga, Spain.
Ophthalmol Ther. 2023 Aug;12(4):1813-1826. doi: 10.1007/s40123-023-00721-0. Epub 2023 May 5.
This study conducted a critical review of the peer-reviewed literature on the use of supplemental toric intraocular lenses (STIOL) in the ciliary sulcus to correct residual refractive astigmatism.
This review used PubMed as a database from 1 January 2010 to 13 March 2023. According to the inclusion and exclusion criteria defined, 14 articles were selected for the current review.
The data of 155 eyes were analyzed. Most of the studies reviewed had a short follow-up and poor or limited design, including case reports, case series, and retrospective cohorts. The follow-up period ranged from 43 days to 4.5 years. STIOL rotation was the most frequently described complication in the literature, with a mean rotation of 30.48 ± 19.90°. These patients required repositioning in 50 of 155 eyes (32.25%). Moreover, four eyes (2.58%) required scleral fixation sutures and two eyes (1.29%) iris fixation. Other complications were high intraocular pressure (3 eyes, 1.93%), transient corneal edema (2 eyes, 1.29%), corneal decompensation (2 eyes, 1.29%), and pigment dispersion (1 eye, 0.64%). From the total, 57.41% of eyes (89 eyes from 155) achieved within ± 0.50D of target refractive astigmatism. It is important to highlight that at least 52 eyes out of the 155 (33.54%) had an abnormal cornea with irregular astigmatism.
STIOL seem to offer good visual and refractive outcomes. However, STIOL showed variable rotational stability, especially in some platforms. Further studies with a more robust design, methodology, and standardized analysis methods are needed to confirm these trends.
本研究对经同行评审的关于在睫状沟使用补充性散光人工晶状体（STIOL）矫正残余屈光性散光的文献进行了批判性综述。
本综述以PubMed为数据库，检索时间为2010年1月1日至2023年3月13日。根据既定的纳入和排除标准，选择了14篇文章进行本次综述。
分析了155只眼的数据。大多数纳入综述的研究随访时间短，设计不佳或存在局限性，包括病例报告、病例系列和回顾性队列研究。随访期从43天至4.5年不等。STIOL旋转是文献中最常描述的并发症，平均旋转角度为30.48°±19.90°。在155只眼中，有50只眼（32.25%）的患者需要重新定位。此外，4只眼（2.58%）需要巩膜固定缝线，2只眼（1.29%）需要虹膜固定。其他并发症包括高眼压（3只眼，1.93%）、短暂性角膜水肿（2只眼，1.29%）、角膜失代偿（2只眼，1.29%）和色素播散（1只眼，0.64%）。总体而言，57.41%的眼（155只眼中的89只）达到了目标屈光性散光±0.50D以内。需要强调的是，155只眼中至少有52只眼（33.54%）角膜异常，存在不规则散光。
STIOL似乎能提供良好的视觉和屈光效果。然而，STIOL的旋转稳定性存在差异，尤其是在某些平台上。需要采用更可靠的设计、方法和标准化分析方法进行进一步研究，以证实这些趋势。
