Use of AcrySof acrylic foldable intraocular lens for secondary implantation in children
Use of AcrySof acrylic foldable intraocular lens for secondary implantation in children
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DOI：
10.1016/j.jaapos.2003.10.005
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发表时间：
2004-04-01
期刊：
影响因子：
1.6
通讯作者：
Felius, J
中科院分区：
文献类型：
--
作者：
Crnic, T;Weakley, DR;Felius, J
目的：在儿童无晶状体眼的治疗中，二期人工晶状体（IOL）植入是一种越来越可行的选择。我们报告了通过小切口使用眼力健（Alcon Surgical，得克萨斯州沃思堡）三件式可折叠晶状体在儿童患者中进行二期IOL植入的经验。
方法：我们回顾了1997年至2001年所有接受眼力健晶状体二期IOL植入的18岁以下患者的病历。纳入了所有随访至少6个月的患者。分析病历以了解手术年龄、术后视力变化、术后屈光不正和屈光参差、手术并发症以及随访时间。
结果：36名患者的55只眼被纳入回顾。手术平均年龄为7.4岁（1.1岁至15.4岁），平均随访时间为28个月（6.3个月至5年）。在随访期间，3只眼（5.8%）视力下降超过2行。并发症包括3只眼（5%）的IOL偏心、3只眼（5%）的伤口渗漏、5只眼（9%）的继发性膜形成、1只眼（2%）的瞳孔阻滞性青光眼以及1只眼（2%）的上睑下垂。4只眼（7%）因并发症需要再次手术。术后平均屈光不正为-0.1±3.2屈光度（D），平均屈光参差为2.01±1.44 D。随后6只眼（11%）发生青光眼，其中2只眼需要手术矫正。
结论：在睫状沟二期植入眼力健IOL是一种在具有足够囊膜支持的儿童患者中矫正无晶状体眼的安全有效的方法。需要再次手术的并发症发生率较低。
Purpose: Secondary intraocular lens (IOL) implantation is an increasingly viable option in the management of pediatric aphakia. We report our experience of secondary IOL implantation in pediatric patients using the AcrySof (Alcon Surgical, Fort Worth, Texas) 3-piece foldable lenses through a small incision. Methods: We reviewed the records of all our patients < 18 years undergoing secondary IOL implantation of the AcrySof lens from 1997 to 2001. All patients with a minimum of 6 months follow-up were included. Records were analyzed for age at surgery, postoperative acuity change, postoperative refractive error and anisometropia, surgical complications, and length of follow-up. Results: Fifty-five eyes of 36 patients were included in the review. Mean age at surgery was 7.4 years (1.1 to 15.4), and mean follow-up was 28 months (6.3 months to 5 years). Vision decrease > 2 lines was noted in 3 eyes (5.8%) during the follow-up period. Complications included IOL decentration in 3 eyes (5%), wound leak in 3 eyes (5%), secondary membrane formation in 5 eyes (9%), pupillary block glaucoma in 1 eye (2%), and ptosis in 1 eye (2%). Four eyes (7%) required reoperation for complications. Mean postoperative refractive error was -0.1 +/- 3.2 diopters (D), and mean anisometropia was 2.01 +/- 1.44 D. Glaucoma subsequently developed in 6 eyes (11%), 2 of which required surgical correction. Conclusions: Secondary placement of the AcrySof IOL in the ciliary sulcus is a safe and effective method to correct aphakia in pediatric patients with adequate capsular support. The incidence of complications requiring reoperation is low.