Clinical observation of a novel technique: transscleral suture fixation of a foldable 3-looped haptics one-piece posterior chamber intraocular lens implantation through scleral pockets with intact conjunctiva
Clinical observation of a novel technique: transscleral suture fixation of a foldable 3-looped haptics one-piece posterior chamber intraocular lens implantation through scleral pockets with intact conjunctiva
复制标题
新技术：经巩膜缝线固定可折叠三环襻一体式后房型人工晶状体经巩膜袋完整结膜植入的临床观察
DOI：
10.1186/s12886-019-1113-2
复制
发表时间：
2019-05-09
影响因子：
2
通讯作者：
Xu, Wen
中科院分区：
文献类型：
--
作者：
Ni, Shuang;Wang, Wei;Xu, Wen
背景：介绍一种改良的经巩膜缝线固定后房型人工晶状体（PCIOL）技术在眼膜支持不足情况下的随访结果。方法回顾性分析21例经巩膜袋缝合固定可折叠3环触觉一体式PCIOL植入术患者的临床资料。收集所有患者术前资料及至少3个月的随访资料。结果手术时间平均为36.62±10.70 min。术前、术后平均LogMAR未矫正距离视力分别为（1.25±0.50 vs. 0.41±0.22，P< 0.01）。术前、术后平均LogMAR最佳矫正视力分别为（0.48±0.25比0.33±0.24，P< 0.01）。术后内皮细胞损失的平均比例为11.46±4.78%。术后平均前房深度为3.05±0.44 mm。术后平均IOL倾斜度为2.81±1.41°，术后平均IOL离体度为0.31±0.13 mm。术后观察到短暂性角膜水肿4例（19.0%），短暂性IOP升高3例（14.3%），术后并发症1周内消除。无严重并发症。结论改良技术是一种可行的PCIOL植入术。
BackgroundTo present the follow-up outcomes of a modified technique of transscleral suture fixation of posterior chamber intraocular lens (PCIOL) in eyes with inadequate capsule support.MethodsA retrospective chart review of 21 patients underwent transscleral suture fixation of a foldable 3-looped haptics one-piece PCIOL implantation through scleral pockets was conducted. Preoperative data and follow-up data for at least 3 months were collected for all patients.ResultsThe mean operative duration was 36.62 ± 10.70 min. The mean pre- and post-operative LogMAR uncorrected distance visual acuity was (1.25 ± 0.50 vs. 0.41 ± 0.22,P< 0.01). The mean pre- and post-operative LogMAR best corrected visual acuity was (0.48 ± 0.25 vs. 0.33 ± 0.24,P< 0.01). The mean proportion of postoperative endothelial cell loss was 11.46 ± 4.78%. The mean postoperative anterior chamber depth was 3.05 ± 0.44 mm. The mean postoperative IOL tilt degree was 2.81 ± 1.41°, and the mean postoperative IOL decentration degree was 0.31 ± 0.13 mm. Four patients with transient corneal edema (19.0%) and three patients with transiently elevated IOP (14.3%) were observed after operation, and such complications were resolved within 1 week. No severe complications were observed.ConclusionsThe modified technique was a feasible method of PCIOL implantation.