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通过缝线辅助人工晶状体植入术治疗手术性无晶状体眼和后囊破裂。

Managing surgical aphakia and posterior capsular rupture with suture-assisted intraocular lens implantation.

作者信息

Kumar Mukesh, Chandak Neha

机构信息

Department of Glaucoma, CL Gupta Eye Institute, Moradabad, Uttar Pradesh, India.

出版信息

Oman J Ophthalmol. 2024 Oct 24;17(3):334-336. doi: 10.4103/ojo.ojo_239_23. eCollection 2024 Sep-Dec.

DOI:10.4103/ojo.ojo_239_23
PMID:39651509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620301/
Abstract

OBJECTIVE

This study aims to describe a novel technique for implanting an intraocular lens (IOL) in the sulcus using a 10-0 nylon suture in cases of intraoperative posterior capsular rupture (PCR) with inadequate capsular support, anterior capsular extension during continuous curvilinear capsulorrhexis extending to the posterior capsule, or posttraumatic cataract.

METHODS

The study included 52 patients who underwent surgery at our hospital, during which an IOL was implanted with the assistance of a 10-0 nylon suture. All patients completed a 1-year follow-up period.

RESULTS

In 48 of the 52 patients, the IOL remained stable. However, in two patients, the IOL dropped into the vitreous cavity approximately 1-month postsurgery. These two individuals required IOL explantation, pars plana vitrectomy, and secondary IOL (SFIOL) implantation.

CONCLUSION

Implanting an IOL in cases involving intraoperative PCR with inadequate capsular support, anterior capsular extension to the posterior capsule during continuous curvilinear capsulorrhexis, or posttraumatic cataract can be challenging. The technique of IOL implantation with the assistance of a 10-0 nylon suture, as described in this study, offers a straightforward and safe approach. In addition, it can help alleviate the financial and psychological trauma associated with a second surgery for both the patient and the surgeon.

摘要

目的

本研究旨在描述一种在术中后囊破裂（PCR）且囊袋支撑不足、连续环形撕囊时前囊延伸至后囊或外伤性白内障的情况下，使用10-0尼龙缝线在睫状沟植入人工晶状体（IOL）的新技术。

方法

该研究纳入了52例在我院接受手术的患者，术中在10-0尼龙缝线辅助下植入IOL。所有患者均完成了1年的随访期。

结果

52例患者中有48例IOL保持稳定。然而，有2例患者在术后约1个月时IOL坠入玻璃体腔。这两名患者需要取出IOL、进行玻璃体切除并植入二期人工晶状体（SFIOL）。

结论

在术中PCR且囊袋支撑不足、连续环形撕囊时前囊延伸至后囊或外伤性白内障的情况下植入IOL可能具有挑战性。本研究中描述的在10-0尼龙缝线辅助下植入IOL的技术提供了一种直接且安全的方法。此外，它有助于减轻患者和外科医生因二次手术带来的经济和心理创伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/45d07bf77fc8/OJO-17-334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/948d01c8d201/OJO-17-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/667565e1ac56/OJO-17-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/45d07bf77fc8/OJO-17-334-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/948d01c8d201/OJO-17-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/667565e1ac56/OJO-17-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca2/11620301/45d07bf77fc8/OJO-17-334-g003.jpg

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