Center for Rehabilitation Medicine, Department of Ophthalmology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
The First People's Hospital of Pinghu, Jiaxing, Zhejiang, China.
BMC Ophthalmol. 2024 Sep 4;24(1):394. doi: 10.1186/s12886-024-03652-x.
To assess the efficacy and safety of using the adjustable flanged technique for secondary implantation of four-point scleral‑fixated posterior chamber intraocular lenses with two parallel 6-0 polyglactin sutures.
Two parallel 6-0 polyglactin sutures were passed separately through the two haptics on the horizontal line of the 4-haptic IOL. The four externalized sutures were then trimmed and cauterized to form flanges. The best corrected visual acuity, intraocular pressure, and complications in all patients were observed and recorded.
The flanged technique using two parallel 6-0 polyglactin sutures was applied to 14 aphakic eyes. The average preoperative best corrected visual acuity was 1.00 ± 0.88 LogMAR (Snellen 20/200), which improved to 0.42 ± 0.38 LogMAR (Snellen 20/48) at the final follow-up (P = 0.004). None of the patients experienced vitreous hemorrhage, low intraocular pressure, or issues with exposed or broken sutures.
The simplicity of the technique, along with its ability to accommodate adjustments post-implantation, allows for optimal positioning and reduces risks like IOL tilt or dislocation. Overall, this is a promising approach to secondary IOL implantation, with potential benefits for both patient outcomes and surgical efficiency.
评估使用可调翼缘技术对四点巩膜固定后房型人工晶状体进行二次植入，同时使用两条平行的 6-0 聚甘醇酸缝线的疗效和安全性。
两条平行的 6-0 聚甘醇酸缝线分别穿过四凸面人工晶状体水平线上的两个襻。然后将四个外露缝线修剪并烧灼形成翼缘。观察并记录所有患者的最佳矫正视力、眼压和并发症。
将使用两条平行的 6-0 聚甘醇酸缝线的翼缘技术应用于 14 例无晶状体眼。平均术前最佳矫正视力为 1.00±0.88 LogMAR（Snellen 20/200），最终随访时提高至 0.42±0.38 LogMAR（Snellen 20/48）（P=0.004）。所有患者均未出现玻璃体积血、低眼压或缝线外露或断裂等问题。
该技术简单，可在植入后进行调整，从而实现最佳定位，并降低人工晶状体倾斜或脱位等风险。总的来说，这是一种有前途的二次人工晶状体植入方法，对患者的结果和手术效率都有潜在的好处。
Zotero 插件
