两种免缝线巩膜内固定技术在二期人工晶状体植入术中的临床应用经验。

Clinical Experience of Two Sutureless Intrascleral Fixation Techniques for Secondary Intraocular Lens Implantation.

机构信息

Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany.

Eye Clinic, Petrisberg, Trier, Germany.

出版信息

Ophthalmologica. 2024;247(1):1-7. doi: 10.1159/000532065. Epub 2023 Aug 30.

DOI:10.1159/000532065

PMID:37647875

Abstract

INTRODUCTION

The aim of this study was to evaluate the outcome of the modified Carlevale intraocular lens (IOL) fixation technique, using two different vitrectomy ports (23- vs. 27-gauge) as anchor fixation.

METHODS

Retrospective, consecutive study of 282 eyes (282 patients) who underwent a secondary IOL implantation using the Carlevale IOL (Soleko IOL Division, Italy) with two anchor haptics for intrascleral implantation with either 23- or 27-gauge (G) port.

RESULTS

Transient post-operative ocular hypotonia (intraocular pressure ≤5 mm Hg) was observed less in the 27-G group (13 vs. 4 patients, p = 0.057) three requiring additional tunnel sutures (2 cases for 23-G; 1 case 27-G). Post-operative vitreous haemorrhage was recorded more often in the 23-G group (8 vs. 1 patient, p = 0.034), but all cases in both groups resolved without intervention. Visual acuity did improve post-operatively in the two groups. No post-operative complications such as retinal detachment, endophthalmitis, and IOL-dislocation tilt were observed in the follow-up.

CONCLUSION

The 27-G modified technique for sutureless intrascleral implantation is simple and effective and causes less post-operative hypotony.

摘要

简介

本研究旨在评估使用两种不同的玻璃体切割端口（23 号 vs. 27 号）作为锚定点固定改良的 Carlevale 人工晶状体（IOL）固定技术的结果。

方法

回顾性连续研究 282 只眼（282 例患者），这些眼均接受了 Carlevale IOL（意大利 Soleko IOL 分部）的二次 IOL 植入术，使用两个锚定襻进行巩膜内植入，其中 23 号或 27 号（G）端口各 141 只眼。

结果

27-G 组观察到的术后短暂性眼压低（眼压≤5mmHg）较少（13 例比 4 例，p=0.057），3 例需要额外的隧道缝线（23-G 组 2 例，27-G 组 1 例）。23-G 组术后玻璃体积血更为常见（8 例比 1 例，p=0.034），但两组所有病例均无需干预而自行吸收。两组术后视力均有所提高。在随访中，均未观察到视网膜脱离、眼内炎和 IOL 脱位倾斜等术后并发症。