Sun Han, Wang Caixia, Wu Hong
Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, China.
Eye Vis (Lond). 2024 Dec 30;11(1):49. doi: 10.1186/s40662-024-00414-0.
Over the past two decades, both suture and sutureless techniques for scleral fixation of intraocular lenses have seen significant advancement, driven by improvements in methodologies and instrumentation. Despite numerous reports demonstrating the effectiveness, safety, and superiority of these techniques, each approach carries with it its own drawbacks, including an elevated risk of certain postoperative complications. This article delves into various surgical techniques for scleral fixation of posterior chamber intraocular lenses, discussing their procedural nuances, benefits, drawbacks, postoperative complications, and outcomes. Furthermore, a comparative analysis between suture and sutureless fixation methods is presented, elucidating their respective limitations and associated factors. It is hoped that this comprehensive review will offer clinicians guidance on how to individualize procedural selection and mitigate surgical risks, and thus achieve optimal visual outcomes. This review will also endeavor to provide guidance for future advancements in intraocular lens fixation techniques.
在过去二十年中，由于方法和器械的改进，用于人工晶状体巩膜固定的缝合技术和无缝合技术都取得了显著进展。尽管有大量报告证明了这些技术的有效性、安全性和优越性，但每种方法都有其自身的缺点，包括某些术后并发症的风险增加。本文深入探讨了后房型人工晶状体巩膜固定的各种手术技术，讨论了它们的操作细节、优点、缺点、术后并发症及结果。此外，还对缝合固定法和无缝合固定法进行了比较分析，阐明了它们各自的局限性及相关因素。希望这一全面综述能为临床医生提供有关如何个体化选择手术方法及降低手术风险从而实现最佳视觉效果的指导。本综述还将努力为人工晶状体固定技术的未来发展提供指导。
