Baur Isabella D, Winkelmann Isabel, Albrecht Michael, Botros Youssef, Auffarth Gerd U, Khoramnia Ramin
Augenklinik des Universitätsklinikums Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Augenklinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
Ophthalmologie. 2024 Nov;121(11):872-885. doi: 10.1007/s00347-024-02097-3. Epub 2024 Aug 22.
A variety of situations can lead to the need for an alternative method of intraocular lens (IOL) fixation if implantation in the capsular bag is not possible. Depending on the situation, sulcus-fixated IOLs, iris-fixated IOLs (IFIOLs) and scleral-fixated IOLs (SFIOLs) are available. With SFIOLs, a distinction is made between suture-fixated and sutureless-fixated techniques. This paper summarizes the advantages and disadvantages of the different approaches, including the newer methods of sutureless SFIOLs. The decision on a specific approach in the individual case depends on both the individual circumstances of the patient and the experience of the surgeon.
如果无法将人工晶状体(IOL)植入囊袋内,多种情况可能会导致需要采用替代的IOL固定方法。根据具体情况,可选用沟内固定IOL、虹膜固定IOL(IFIOL)和巩膜固定IOL(SFIOL)。对于SFIOL,可分为缝线固定技术和无缝线固定技术。本文总结了不同方法的优缺点,包括无缝线SFIOL的最新方法。针对个别病例选择具体方法取决于患者的个体情况和手术医生的经验。