Koutari Sawako, Hayashi Takahiko, Fujiwara Kyohei, Aso Hiroshi, Yokota Harumasa, Yuda Kentaro, Saeki Tadashiro, Yamagami Satoru
Department of Ophthalmology, Department of Visual Sciences Nihon University School of Medicine, Itabashi, Tokyo, Japan.
Department of Ophthalmology, ASO Eye Clinic, Tokyo, Japan.
Eur J Ophthalmol. 2025 Nov;35(6):1984-1991. doi: 10.1177/11206721251357124. Epub 2025 Jul 13.
PurposeTo evaluate intraocular lens stability and identify factors affecting postoperative refractive errors following modified Yamane sutureless intrascleral fixation without trimmed haptics.Major FindingsForty-four eyes were included: 22 each from Surgeons A and B cases (mean patient age, 66.8 ± 13.7 years). Postoperative best-corrected visual acuity (BCVA; logarithm of the minimum angle of resolution [logMAR]) was also not significantly different: 0.23 ± 0.40 logMAR and 0.22 ± 0.41 logMAR for Surgeons A and B, respectively. Regarding the position of fixated IOLs, postoperative tilt was 6.33 ± 3.8° for Surgeon A, and 5.51 ± 3.17° for Surgeon B. Postoperative decentration was 0.46 ± 0.22 mm for Surgeon A, and 0.49 ± 0.24 mm for Surgeon B. Postoperative refractive error was 0.43 ± 0.75 D (range: -1.00-1.70 D) for Surgeon A and -0.18 ± 1.35 D (range: -3.50-2.20 D) for Surgeon B, showing a slight hyperopic tendency for Surgeon A. Postoperative refractive errors showed a significant positive correlation with postoperative aqueous depth ( = 0.016).ConclusionsRefractive error stability and centration were not inferior to those reported in previous studies. Differences in postoperative refractive error tendencies were observed between the two surgeons, with postoperative aqueous depth being a significant influencing factor.
目的
评估改良矢根无缝巩膜内固定术(未修剪袢)后人工晶状体的稳定性,并确定影响术后屈光不正的因素。
主要发现
共纳入44只眼:外科医生A组和B组各22只眼(患者平均年龄66.8±13.7岁)。术后最佳矫正视力(BCVA;最小分辨角对数[logMAR])也无显著差异:外科医生A组为0.23±0.40 logMAR,外科医生B组为0.22±0.41 logMAR。关于固定人工晶状体的位置,外科医生A术后倾斜度为6.33±3.8°,外科医生B为5.51±3.17°。外科医生A术后偏心距为0.46±0.22 mm,外科医生B为0.49±0.24 mm。外科医生A术后屈光不正为0.43±0.75 D(范围:-1.00-1.70 D),外科医生B为-0.18±1.35 D(范围:-3.50-2.20 D),外科医生A显示出轻微的远视倾向。术后屈光不正与术后前房深度呈显著正相关(=0.016)。
结论
屈光不正稳定性和中心定位不低于先前研究报道。两位外科医生术后屈光不正倾向存在差异,术后前房深度是一个重要影响因素。