PDF(Pubmed)
Abstract：
BACKGROUND: Here we described a new threading technique for the universal fixation of any posterior chamber intraocular lens (IOL).
METHODS: Twenty-seven eyes of 27 patients whose surgery done by Surgeon A with the needle-guided method or the suture needle retrograde threading (SNRT) method for intrascleral IOL fixation were enrolled in the first group. Thirty-four eyes of 34 patients whose surgery done by Surgeon A, Surgeon B or Surgeon C with the SNRT method for intrascleral IOL fixation were grouped into three sub-groups by surgeon. Information regarding age, sex, best-available visual acuity (BCVA), intraocular pressure (IOP), past ophthalmological history, threading time (from puncturing to externalizing suture) and complications during and after the surgery were gathered.
RESULTS: The analysis showed that the threading time was less in the SNRT group than needle-guided group by Surgeon A. There was one eye with suture needle slipping from the guide needle when guiding out of the eye. The threading procedure was completed one time without suture ruptures or loop slippage in the SNRT group operated by Surgeon A. And using the SNRT method, Surgeon A, Surgeon B, and Surgeon C did not show any significant difference in threading time. No complications (e.g., vitreous hemorrhage, hyphemia, retinal detachment, suprachoroidal hemorrhage, or hypotony) were observed during surgery or postoperatively in all cases. No leakage occurred at the site of the puncture after the operation.
CONCLUSIONS: The described technique appears to be a safe, simple, easy-to-learn, and universal surgical method, which is suitable for various types of IOLs.
METHODS: Twenty-seven eyes of 27 patients whose surgery done by Surgeon A with the needle-guided method or the suture needle retrograde threading (SNRT) method for intrascleral IOL fixation were enrolled in the first group. Thirty-four eyes of 34 patients whose surgery done by Surgeon A, Surgeon B or Surgeon C with the SNRT method for intrascleral IOL fixation were grouped into three sub-groups by surgeon. Information regarding age, sex, best-available visual acuity (BCVA), intraocular pressure (IOP), past ophthalmological history, threading time (from puncturing to externalizing suture) and complications during and after the surgery were gathered.
RESULTS: The analysis showed that the threading time was less in the SNRT group than needle-guided group by Surgeon A. There was one eye with suture needle slipping from the guide needle when guiding out of the eye. The threading procedure was completed one time without suture ruptures or loop slippage in the SNRT group operated by Surgeon A. And using the SNRT method, Surgeon A, Surgeon B, and Surgeon C did not show any significant difference in threading time. No complications (e.g., vitreous hemorrhage, hyphemia, retinal detachment, suprachoroidal hemorrhage, or hypotony) were observed during surgery or postoperatively in all cases. No leakage occurred at the site of the puncture after the operation.
CONCLUSIONS: The described technique appears to be a safe, simple, easy-to-learn, and universal surgical method, which is suitable for various types of IOLs.
摘要：
背景：在这里，我们描述了一种用于通用固定任何后房型人工晶状体（IOL）的新穿线技术。
方法：第1组27例患者采用A外科医生用针引导法或缝合针逆行穿线（SNRT）方法行巩膜内人工晶体固定手术。由外科医生A进行手术的34例患者的34只眼睛，外科医生将采用SNRT方法进行巩膜内IOL固定的外科医生B或外科医生C分为三个亚组。关于年龄的信息，性别,最佳视力（BCVA），眼内压（IOP），眼科既往史,收集手术中和手术后的穿线时间（从穿刺到外部缝合）和并发症。
结果：分析表明，SNRT组穿线时间少于外科医生A导针组，其中一只眼的缝合针从导针中滑出。眼睛。在外科医生A操作的SNRT组中，一次完成穿线手术，没有缝线破裂或环滑脱，并使用SNRT方法，外科医生A,外科医生B,和外科医生C在穿线时间上没有显示任何显著差异。无并发症(例如，玻璃体出血,hyphemia,视网膜脱离,脉络膜上腔出血,或低眼压）在所有情况下都在手术期间或术后观察到。手术后在穿刺部位没有发生渗漏。
结论：所描述的技术似乎是安全的，简单,简单易学,和通用的手术方法，适用于各种类型的IOL。
方法：第1组27例患者采用A外科医生用针引导法或缝合针逆行穿线（SNRT）方法行巩膜内人工晶体固定手术。由外科医生A进行手术的34例患者的34只眼睛，外科医生将采用SNRT方法进行巩膜内IOL固定的外科医生B或外科医生C分为三个亚组。关于年龄的信息，性别,最佳视力（BCVA），眼内压（IOP），眼科既往史,收集手术中和手术后的穿线时间（从穿刺到外部缝合）和并发症。
结果：分析表明，SNRT组穿线时间少于外科医生A导针组，其中一只眼的缝合针从导针中滑出。眼睛。在外科医生A操作的SNRT组中，一次完成穿线手术，没有缝线破裂或环滑脱，并使用SNRT方法，外科医生A,外科医生B,和外科医生C在穿线时间上没有显示任何显著差异。无并发症(例如，玻璃体出血,hyphemia,视网膜脱离,脉络膜上腔出血,或低眼压）在所有情况下都在手术期间或术后观察到。手术后在穿刺部位没有发生渗漏。
结论：所描述的技术似乎是安全的，简单,简单易学,和通用的手术方法，适用于各种类型的IOL。
