Chen Chun-Ming, Zhong Hong, Shao Yan, Qin Cheng-Yao, Liu Ze-Hao, Sun Wen-Xiu, Li Min
Department of Ophthalmology, Liyang Hospital of Chinese Medicine, Liyang 213300, Jiangsu Province, China.
Int J Ophthalmol. 2024 Dec 18;17(12):2327-2332. doi: 10.18240/ijo.2024.12.23. eCollection 2024.
To observe the clinical outcomes of 30-gauge (G) needle-guided 10-0 prolene suture purse-string pupilloplasty for atonic pupil management.
Eight patients with atonic pupils who underwent suture purse-string pupilloplasty were retrospectively analyzed. Preoperative data and at least 6mo of postoperative data were collected from all the patients.
The corrected distance visual acuity (CDVA) before and after surgery was 0.58±0.22 and 0.20±0.10 logMAR, respectively (=0.002). The pre- and postoperative pupil size was 7.38±0.88 and 3.09±0.71 mm (=0.000), respectively. The corneal endothelial cell count was 2841±176/mm before and 2692±143/mm after surgery (=0.000). No intraoperative or postoperative complications were reported. During the follow-up period of at least 6mo, all treated pupils were centered and generally or nearly round. Furthermore, the patients did not exhibit photophobia, glare, or diplopia.
This technique is a simple and effective method for pupil reduction.
观察30号（G）针头引导下10-0普理灵缝线瞳孔成形术治疗无张力瞳孔的临床效果。
回顾性分析8例行缝线瞳孔成形术治疗的无张力瞳孔患者。收集所有患者的术前数据及至少6个月的术后数据。
手术前后矫正远视力（CDVA）分别为0.58±0.22和0.20±0.10 logMAR（P=0.002）。术前和术后瞳孔大小分别为7.38±0.88和3.09±0.71 mm（P=0.000）。角膜内皮细胞计数术前为2841±176/mm，术后为2692±143/mm（P=0.000）。未报告术中或术后并发症。在至少6个月的随访期内，所有治疗的瞳孔均居中，形状大致或接近圆形。此外，患者未出现畏光、眩光或复视。
该技术是一种简单有效的瞳孔缩小方法。
