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Unfolder的临床评估。

Clinical evaluation of the Unfolder.

作者信息

Olson R, Cameron R, Hovis T, Hunkeler J, Lindstrom R, Steinert R

出版信息

J Cataract Refract Surg. 1997 Nov;23(9):1384-9. doi: 10.1016/s0886-3350(97)80119-8.

DOI:10.1016/s0886-3350(97)80119-8
PMID:9423912
Abstract

PURPOSE

To evaluate the clinical acceptability of the Unfolder for implantation of AMO PhacoFlex II (model SI-30NB or SI-40NB) intraocular lenses (IOLs).

SETTING

Six investigational sites in five states in the United States: Utah, Texas, Missouri, Minnesota, and Massachusetts.

METHODS

One hundred one patients from six investigational sites had implantation of an SI-30NB or SI-40NB IOL. Investigators evaluated the clinical acceptability of the Unfolder by comparing their experience with the injector with that using other implantation systems. Internal incision size (dimensions) was measured three times during surgery using a calibrated instrument. Data on safety and efficacy were collected.

RESULTS

The investigators rated the Unfolder as clinically acceptable. Mean internal incision size after phacoemulsification but before IOL implantation was 3.0 mm +/- 0.1 (SD) (range 2.7 to 3.2 mm). Average internal incision size after IOL implantation was 3.1 +/- 0.1 mm. There were no reports of haptic deformation, lens optic damage, or postoperative complications related to the Unfolder. No adverse events were reported.

CONCLUSIONS

Investigators found the Unfolder easy to use. It provided controlled lens implantation through incisions 2.7 to 3.2 mm, with post-IOL implantation incisions ranging from 2.9 to 3.3 mm.

摘要

目的

评估用于植入AMO PhacoFlex II(型号SI - 30NB或SI - 40NB)人工晶状体(IOL)的Unfolder的临床可接受性。

设置

美国五个州的六个研究地点:犹他州、得克萨斯州、密苏里州、明尼苏达州和马萨诸塞州。

方法

来自六个研究地点的101名患者植入了SI - 30NB或SI - 40NB人工晶状体。研究者通过将使用该注射器的经验与使用其他植入系统的经验进行比较,评估了Unfolder的临床可接受性。在手术过程中使用校准仪器三次测量内切口尺寸(大小)。收集了关于安全性和有效性的数据。

结果

研究者将Unfolder评定为临床可接受。超声乳化术后但人工晶状体植入前的平均内切口尺寸为3.0毫米±0.1(标准差)(范围2.7至3.2毫米)。人工晶状体植入后的平均内切口尺寸为3.1±0.1毫米。没有关于襻变形、晶状体光学部损伤或与Unfolder相关的术后并发症的报告。未报告不良事件。

结论

研究者发现Unfolder易于使用。它通过2.7至3.2毫米的切口实现了可控的晶状体植入,人工晶状体植入后的切口范围为2.9至3.3毫米。

相似文献

1
Clinical evaluation of the Unfolder.Unfolder的临床评估。
J Cataract Refract Surg. 1997 Nov;23(9):1384-9. doi: 10.1016/s0886-3350(97)80119-8.
2
Incision sizes before and after implantation of 6-mm optic foldable intraocular lenses using Monarch and Unfolder injector systems.使用Monarch和Unfolder注射器系统植入6毫米光学折叠式人工晶状体前后的切口大小。
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Incision sizes with 5.5 mm total optic, 3-piece foldable intraocular lenses.采用5.5毫米全光学直径、三件式可折叠人工晶状体的切口尺寸。
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Unfolder lens injection system with acrylic intraocular lenses: retrospective study.使用丙烯酸人工晶状体的非折叠式晶状体注射系统:回顾性研究。
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Prospective study of 1 surgeon's experience with 115 cases using the Unfolder lens injection system.对一位外科医生使用Unfolder晶状体注射系统进行115例手术的前瞻性研究。
J Cataract Refract Surg. 2001 Sep;27(9):1437-9. doi: 10.1016/s0886-3350(01)00796-9.
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Intraoperative cracking of the AMO Phacoflex-II Silicone (SI-40NB) intraocular lens while implanting with the Unfolder silver series system using hydroxypropylmethylcellulose.在使用羟丙基甲基纤维素通过Unfolder银色系列系统植入AMO Phacoflex-II硅酮(SI-40NB)人工晶状体时,术中该晶状体发生破裂。
Indian J Ophthalmol. 2007 Sep-Oct;55(5):396-7. doi: 10.4103/0301-4738.33836.
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Comparison of the effects of viscoelastic agents on clinical properties of the Unfolder lens injection system.粘弹性剂对Unfolder晶状体注射系统临床特性影响的比较
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[Use of applicator AMO PhacoFlex II SofTip Insertion System in cataract surgery with IOL implantation].
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Risk factors for anterior capsule contraction syndrome with polypropylene or poly(methyl methacrylate) haptics.
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Scanning electron microscopy study of different one-piece foldable acrylic intraocular lenses after injection through microincisional cataract surgery cartridges.经微切口白内障手术套管注射后不同一体式折叠丙烯酸人工晶状体的扫描电子显微镜研究。
Int Ophthalmol. 2020 Feb;40(2):369-376. doi: 10.1007/s10792-019-01193-7. Epub 2019 Oct 17.
2
Intraoperative cracking of the AMO Phacoflex-II Silicone (SI-40NB) intraocular lens while implanting with the Unfolder silver series system using hydroxypropylmethylcellulose.在使用羟丙基甲基纤维素通过Unfolder银色系列系统植入AMO Phacoflex-II硅酮(SI-40NB)人工晶状体时,术中该晶状体发生破裂。
Indian J Ophthalmol. 2007 Sep-Oct;55(5):396-7. doi: 10.4103/0301-4738.33836.
3
The IOL flip: rescue for foldable lens implantation gone wrong.
人工晶状体翻转:挽救失败的可折叠晶状体植入术。
Br J Ophthalmol. 2003 May;87(5):656-7. doi: 10.1136/bjo.87.5.656.