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人工晶状体的无缝合巩膜固定术

Sutureless scleral fixation of intraocular lenses.

作者信息

Maggi R, Maggi C

出版信息

J Cataract Refract Surg. 1997 Nov;23(9):1289-94. doi: 10.1016/s0886-3350(97)80104-6.

DOI:10.1016/s0886-3350(97)80104-6
PMID:9423897
Abstract

A technique is presented in which pars plana fixation of a posterior chamber intraocular lens (IOL) is achieved by the transscleral passage of the haptics. The IOL used has three equidistant supple loops, each attached to an armed suture, which serve as haptics. A specially designed needle driver is used to pass the sutures into and out of the eye through the pars plana and along the surface of the sclera, where they are severed by cautery. Stable fixation is achieved without contact with the inner tissues of the eye, and no additional sutures are necessary. Lens stability is maintained even in the presence of asymmetrical fibrosis of the capsular remnants.

摘要

本文介绍了一种通过襻经巩膜通道实现后房型人工晶状体(IOL)睫状体扁平部固定的技术。所使用的IOL有三个等距的柔软环,每个环连接到一根带线缝针,用作襻。使用一种专门设计的持针器,将缝线经睫状体扁平部穿过眼球并沿着巩膜表面进出眼球,在巩膜表面通过烧灼将缝线切断。无需接触眼内组织即可实现稳定固定,且无需额外缝线。即使在囊膜残余存在不对称纤维化的情况下,晶状体稳定性也能得以维持。

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