Implanting a posterior chamber phakic intraocular lens in highly myopic eyes with peripheral primary iris and ciliary body cysts
Implanting a posterior chamber phakic intraocular lens in highly myopic eyes with peripheral primary iris and ciliary body cysts
复制标题
患有周边原发虹膜和睫状体囊肿的高度近视眼植入后房型有晶状体眼人工晶状体
DOI：
10.1177/1120672118766445
复制
发表时间：
2019-03-01
影响因子：
1.7
通讯作者：
Zhou, Xingtao
中科院分区：
文献类型：
--
作者：
Zhao, Jing;Luo, Dongqiang;Zhou, Xingtao
目的：探讨高度近视伴周边原发虹膜或睫状体囊肿患者植入带中心孔的后房型胶原人工晶状体的安全性和有效性。方法：超声生物显微镜检出原发性虹膜或睫状体囊性病变19例37眼，球镜度数−10.26 ± 3.28 D，柱镜度数−1.71 ± 1.18 D。术后常规随访3~18个 月，观察虹膜或睫状体囊肿的变化。结果：无并发症发生。最后一次随访时，56.8%(21/37)的眼矫正远视力与术前相当，43.2%的眼矫正远视力较术前提高，无1例患者矫正远视力下降。疗效指数为0.95，安全性指数为1.11。术后1、3、6、12、18 月平均球镜分别为−0.45 ± 0.31 D、−0.39 ± 0.29 D、−0.36 ± 0.30 D、−0.39 ± 0.38 D、−0.48 ± 0.23 D(p = 0.789)。金库分别为516 ± 140、548 ± 124、498 ± 133、582 ± 161和557 ± 110 μm(p = 0.355)。虹膜或睫状体囊肿的大小、数量和位置没有变化(p >； )。结论：高度近视伴周边原发虹膜睫状体囊肿者植入胶原性人工晶状体安全有效。本研究的囊性病变在手术后无明显变化。
Purpose: To investigate the safety and efficacy of implanting a posterior chamber implantable collamer lens with a central hole in cases of high myopia with peripheral primary iris or ciliary body cysts. Methods: A total of 37 eyes of 19 patients with primary iris or ciliary body cysts detected by ultrasonic biological microscope were included, with spherical powers of −10.26 ± 3.28 D and cylinder powers of −1.71 ± 1.18 D. Each patient received ultrasonic biological microscope and a routine examination before implantation of the implantable collamer lens. A routine postoperative follow-up was performed to observe changes in the iris or ciliary body cyst, ranging from 3 to 18 months. Results: There were no complications. At the last follow-up, 56.8% (21/37) of eyes achieved the same corrected distance visual acuity as their preoperative measurements, 43.2% of eyes were enhanced by ≥1 line, and no patients’ corrected distance visual acuity declined. The efficacy index and safety index were 0.95 and 1.11, respectively. After 18 months, 66.7% of the spherical equivalents were between ±0.5 D with 100% between ±1.0 D. The postoperative mean spherical equivalents at 1, 3, 6, 12, and 18 months were −0.45 ± 0.31 D, −0.39 ± 0.29 D, −0.36 ± 0.30 D, −0.39 ± 0.38 D, and −0.48 ± 0.23 D (p = 0.789). The vaults were 516 ± 140, 548 ± 124, 498 ± 133, 582 ± 161, and 557 ± 110 μm (p = 0.355). There were no changes in size (p > 0.05), number, or position of the iris or ciliary body cysts. Conclusion: Implantable collamer lens implantation is safe and effective for highly myopic patients with peripheral primary iris and ciliary body cysts. The cysts did not change after operation in this study.