ONE-YEAR OUTCOMES OF A NOVEL SURGICAL TECHNIQUE FOR SUTURELESS INTRASCLERAL FIXATION OF A THREE-PIECE INTRAOCULAR LENS USING A 30-GAUGE NEEDLE
ONE-YEAR OUTCOMES OF A NOVEL SURGICAL TECHNIQUE FOR SUTURELESS INTRASCLERAL FIXATION OF A THREE-PIECE INTRAOCULAR LENS USING A 30-GAUGE NEEDLE
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DOI：
10.1097/iae.0000000000002560
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发表时间：
2020-06-01
影响因子：
3.3
通讯作者：
Prenner, Jonathan L.
中科院分区：
文献类型：
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作者：
Bonnell, Alyssa C.;Polo, Richard N.;Prenner, Jonathan L.
目的：展示使用 30 号针无缝线巩膜内固定 3 片式人工晶状体的手术技术的 1 年结果。方法：对连续使用 30 号针进行后房型人工晶状体无缝线巩膜内固定的 8 名患者的 9 只眼睛进行回顾性图表审查。患者需要进行至少一年的随访才能纳入分析。术后1个月收集短期数据，术后1年收集长期数据。收集的数据包括视力、晶状体稳定性、眼压和并发症的发生情况。结果：视力从术前的 Snellen 20/309 提高到术后第 12 个月的 Snellen 20/27（P = 0.03）。短期并发症包括眼压升高（n = 4）和角膜水肿（n = 2）。长期并发症包括上触觉暴露（n = 1）和复发性前房炎症（n = 1）。结论：三片式人工晶状体无缝线巩膜内固定的新型手术技术在术后 1 年内耐受性良好。
Purpose: To present the 1-year results of a surgical technique for the sutureless intrascleral fixation of a 3-piece intraocular lens using a 30-gauge needle. Methods: A retrospective chart review of a consecutive series of 9 eyes of 8 patients who underwent sutureless intrascleral fixation of posterior chamber intraocular lens using a 30-gauge needle was performed. Patients were required to have at least 1 year of follow-up to be included in the analysis. Short-term data were collected 1 month after surgery, and long-term data were collected 1 year after surgery. Data collected included visual acuity, lens stability, intraocular pressure, and the development of complications. Results: Visual acuity improved from Snellen 20/309 preoperatively to Snellen 20/27 at postoperative Month 12 (P = 0.03). Short-term complications included increased intraocular pressure (n = 4) and corneal edema (n = 2). Long-term complications included exposed superior haptic (n = 1) and recurrent anterior chamber inflammation (n = 1). Conclusion: The novel surgical technique for sutureless intrascleral fixation of a 3-piece intraocular lens is well tolerated 1 year after surgery.