Abstract：
BACKGROUND: To describe the clinical and refractive outcomes of Yamane transconjunctival sutureless intrascleral intraocular lens (SIS IOL) fixation technique in aphakic and dislocated IOLs.
METHODS: The aphakic and IOL dispositioned patients who underwent Yamane surgery in Bozyaka Research and Training Hospital were evaluated retrospectively. The demographic data, preoperative & postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), indication for surgery, additional surgical interventions, complications, the final status of retina, and central macular thickness (CMT) through spectral-domain optic coherence tomography (SD-OCT) were recorded.
RESULTS: A total of 30 eyes of 30 patients were evaluated. The indication for surgery was aphakia in 24 patients, lens dislocation in 1 patient, and IOL dislocation in 5 patients. The mean age of participants was 64.17 ± 14.69 years, and the mean follow-up was 46.07 ± 7.96 months. The mean BCVA was improved from 0.25 ± 0.22 (-0.94 ± 0.83 log MAR) to 0.49 ± 0.24 in decimals (-0.37 ± 0.27 log MAR) (p:0.041). The mean subjective refraction improved from 10.06 ± 3.10 to -1.45 ± 0.73 D in the final visit (p < 0.05). The mean of cylindrical refraction was -1.22 ± 1.03 D in the postoperative period. At the time surgery, 36.6% of patients required at least one additional surgical procedure. During follow-up period, two (6.7%) out of 30 of patients had retinal detachment, two of the patients (6.7%) occured epiretinal membrane, one of the patients (3.3%) had cystoid macular edema.
CONCLUSIONS: Yamane SIS IOL fixation technique is an effective and reliable surgical option in complicated cases that require additional surgical interventions in long-term follow-up.
METHODS: The aphakic and IOL dispositioned patients who underwent Yamane surgery in Bozyaka Research and Training Hospital were evaluated retrospectively. The demographic data, preoperative & postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), indication for surgery, additional surgical interventions, complications, the final status of retina, and central macular thickness (CMT) through spectral-domain optic coherence tomography (SD-OCT) were recorded.
RESULTS: A total of 30 eyes of 30 patients were evaluated. The indication for surgery was aphakia in 24 patients, lens dislocation in 1 patient, and IOL dislocation in 5 patients. The mean age of participants was 64.17 ± 14.69 years, and the mean follow-up was 46.07 ± 7.96 months. The mean BCVA was improved from 0.25 ± 0.22 (-0.94 ± 0.83 log MAR) to 0.49 ± 0.24 in decimals (-0.37 ± 0.27 log MAR) (p:0.041). The mean subjective refraction improved from 10.06 ± 3.10 to -1.45 ± 0.73 D in the final visit (p < 0.05). The mean of cylindrical refraction was -1.22 ± 1.03 D in the postoperative period. At the time surgery, 36.6% of patients required at least one additional surgical procedure. During follow-up period, two (6.7%) out of 30 of patients had retinal detachment, two of the patients (6.7%) occured epiretinal membrane, one of the patients (3.3%) had cystoid macular edema.
CONCLUSIONS: Yamane SIS IOL fixation technique is an effective and reliable surgical option in complicated cases that require additional surgical interventions in long-term follow-up.
摘要：
背景：描述Yamane经结膜无缝合巩膜内人工晶状体（SISIOL）固定技术在无晶状体和脱位IOL中的临床和屈光结果。
方法：对在Bozyaka研究和培训医院接受Yamane手术的无晶状体和人工晶状体移位患者进行回顾性评估。人口统计数据，术前和术后最佳矫正视力（BCVA），球形当量(SE)，手术指征,额外的手术干预，并发症,视网膜的最终状态，通过谱域光学相干断层扫描(SD-OCT)记录黄斑中心厚度(CMT).
结果：对30例患者的30只眼进行了评估。手术的适应症是24例患者的无晶状体眼，1例患者晶状体脱位,5例患者的人工晶状体脱位。参与者的平均年龄为64.17±14.69岁，平均随访时间为46.07±7.96个月。平均BCVA从0.25±0.22（-0.94±0.83logMAR）提高到小数的0.49±0.24（-0.37±0.27logMAR）（p：0.041）。在最后一次访问中，平均主观屈光度从10.06±3.10提高到-1.45±0.73D（p<0.05）。术后柱面屈光平均为-1.22±1.03D。在手术的时候，36.6%的患者需要至少一次额外的外科手术。在随访期间,30例患者中有2例(6.7%)出现视网膜脱离,其中2例(6.7%)出现视网膜前膜,其中1例(3.3%)出现黄斑囊样水肿.
结论：YamaneSISIOL内固定技术对于长期随访中需要额外手术干预的复杂病例是一种有效且可靠的手术选择。
方法：对在Bozyaka研究和培训医院接受Yamane手术的无晶状体和人工晶状体移位患者进行回顾性评估。人口统计数据，术前和术后最佳矫正视力（BCVA），球形当量(SE)，手术指征,额外的手术干预，并发症,视网膜的最终状态，通过谱域光学相干断层扫描(SD-OCT)记录黄斑中心厚度(CMT).
结果：对30例患者的30只眼进行了评估。手术的适应症是24例患者的无晶状体眼，1例患者晶状体脱位,5例患者的人工晶状体脱位。参与者的平均年龄为64.17±14.69岁，平均随访时间为46.07±7.96个月。平均BCVA从0.25±0.22（-0.94±0.83logMAR）提高到小数的0.49±0.24（-0.37±0.27logMAR）（p：0.041）。在最后一次访问中，平均主观屈光度从10.06±3.10提高到-1.45±0.73D（p<0.05）。术后柱面屈光平均为-1.22±1.03D。在手术的时候，36.6%的患者需要至少一次额外的外科手术。在随访期间,30例患者中有2例(6.7%)出现视网膜脱离,其中2例(6.7%)出现视网膜前膜,其中1例(3.3%)出现黄斑囊样水肿.
结论：YamaneSISIOL内固定技术对于长期随访中需要额外手术干预的复杂病例是一种有效且可靠的手术选择。
