摘要
目的评价无缝线巩膜层间固定人工晶状体(intraocular lens,IOL)植入对囊膜支撑力不足患者的治疗安全性和有效性。设计回顾性病例系列。研究对象2015年8月至2018年5月于北京同仁眼科中心行无缝线巩膜层间固定IOL植入术患者41例(42眼)。方法回顾性分析患者性别、年龄、术后并发症,比较手术前后裸眼视力和最佳矫正视力及屈光状态。术后随诊3～36个月,平均(12.1±9.0)个月。主要指标并发症、裸眼视力、矫正视力、屈光状态。结果术后并发症包括前房渗出3例(7.1%),轻度前房或玻璃体积血4例(9.5%),一过性高眼压6例(14.3%)和低眼压8例(19.1%),IOL夹持2例(4.8%),IOL襻暴露1例(2.4%)。术后末次随访裸眼视力(LogMAR)及最佳矫正视力(LogMAR)分别为0.93±0.75和0.21±0.23,与术前裸眼视力(1.69±0.38)及最佳矫正视力(0.35±0.22)比较,均有统计学差异(Z=-5.652,P=0.000;t=6.290, P=0.000)。末次就诊时术眼屈光不正平均球镜度数(0.85±0.47)D,散光平均柱镜度数(1.20±0.51)D。结论无缝线巩膜层间固定IOL植入术后IOL稳定性良好,对无囊膜支撑的患者安全有效。
Objective To evaluate safety and efficacy of sutureless intrascleral fixated intraocular lens (IOL)implantation for patients with insufficient capsular support.Design Retrospective case series.Participants 42eyes of 41patients who underwent sutureless intrascleral fixated IOL implantation in Beijing Tongren Eye Center during August 2015to May 2018.Methods Gender,age,post-operative complication,uncorrected visual acuity (UCVA),best-corrected visual acuity (BCVA)and refractive error were reviewed and analyzed statistically.Main Outcome Measures Complication,UCVA,BCVA,and refractive error.Results Postoperative complications included anterior chamber fibrin exudation in 3 eyes (7.1%),mild hyphema or vitreous hemorrhage in 4eyes (9.5%),transient high intraocular pressure (fOP)in 6 eyes (14.3%)and low IOP in 8eyes (19.1%),iris capture of the IOL in 2 eyes (4.8%),exposure of the haptic of IOL in 1 eye (2.4%).There were significant statistical differences between the postoperative UCVA (0.93±0.75,LogMAR) and BCVA (0.21±0.23,LogMAR)with preoperative UCVA (1.69±0.38,LogMAR)(Z=-5.652,P=0.000)and BCVA(0.35±0.22,LogMAR) (t=6.290,P=0.000).At the last postoperative visit,mean refractive errors were (0.85±0.47)DS;mean astigmatisms were (1.20±0.51)DC. Conclusion Sutureless intrascleral fixated IOL implantation technique provides good IOL fixation with reliable VA improvement without severe postoperative complication.It is safe and useful for IOL implantation in eyes without sufficient capsule support
作者
周丹
何雷
桑景荭
ZHOU Dan;HE Lei;SANG Jing-hong(Beijing Tongren Eye Center,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)
出处
《眼科》
CAS
CSCD
2018年第6期430-433,共4页
Ophthalmology in China
关键词
人工晶状体植入
无缝线
巩膜层间
intraocular lens implantation
sutureless
intrascleral
作者简介
通信作者:何雷,Email:13701317892@163.com。
