关键词: Haptic externalization Scleral fixated intraocular lens Secondary intraocular lens Trocar-based sutureless intraocular lens fixation

来  源:   DOI:10.1016/j.ajoc.2021.101145   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: To describe a modified technique of haptic externalization for trocar-based sutureless scleral fixation of intraocular lenses, in order to avoid working with forceps in the iris plane in a manner that may be unfamiliar to the vitreoretinal surgeon.
UNASSIGNED: This prospective, interventional case series included four eyes of four patients with dislocated intraocular lens (IOL). The modified haptic externalization technique avoids the pitfalls of iris-plane maneuvers by intentionally dropping the IOL onto the retina and using the forceps to grasp the tips of the haptics prior to direct externalization from the same grab.
UNASSIGNED: Four patients underwent scleral fixation of IOL using modified haptic externalization technique. One patient was lost to follow up after postoperative day 1. At the last follow up, all eyes demonstrated stability and good centration of scleral fixated IOL. All three patients achieved a best corrected visual acuity same or better compared to before the operation. One patient developed vitreous hemorrhage which later spontaneously resolved.
UNASSIGNED: The modified haptic externalization technique is a simple and quick modification using maneuvers familiar to vitreoretinal surgeons. It has demonstrated safety among a small pilot group of patients.
摘要:
为了描述一种改进的触觉外化技术,用于基于套管针的人工晶状体无缝线巩膜固定,以避免以玻璃体视网膜外科医生不熟悉的方式在虹膜平面中使用镊子。
这个前景,介入病例系列包括4例人工晶状体脱位患者的4只眼。改进的触觉外化技术通过有意将IOL放到视网膜上并使用镊子在从同一抓取直接外化之前抓住触觉的尖端,避免了虹膜平面操纵的陷阱。
4例患者使用改良的触觉外化技术行巩膜内固定术。一名患者在术后第1天失去随访。在最后一次跟进时,所有眼睛都显示出巩膜固定IOL的稳定性和良好的浓度。所有三名患者均达到了与手术前相同或更好的最佳矫正视力。一名患者出现玻璃体出血,后来自发消退。
修改后的触觉外化技术是使用玻璃体视网膜外科医生熟悉的操作进行的简单而快速的修改。它已经证明了在一小部分患者中的安全性。
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