Mesh : Humans Eye Foreign Bodies / surgery diagnosis Capsulorhexis / methods Lenses, Intraocular Male Female Adult Eye Injuries, Penetrating / surgery Middle Aged Young Adult

来  源:   DOI:10.1097/IAE.0000000000004038

Abstract:
OBJECTIVE: The intraocular lens blocking technique described for the removal of intraocular foreign bodies emerged as a result of an effort to prevent the foreign body from being retracted into the posterior segment because of the resistance encountered while removing it from the corneal incision. However, in the technique described, in addition to the difficulty of the surgical procedure, the new concern is to create a posterior capsulorhexis according to the size of the foreign body and to pass the foreign body through the capsulorhexis.
METHODS: Here, the authors describe a new approach to the intraocular lens blocking technique. In this approach, the intraocular foreign body, which is held with intraocular forceps without any opening in the posterior capsule, is held in a perpendicular position to the long axis, lifted directly into the anterior chamber, and safely removed from the front of the monoblock foldable intraocular lens.
RESULTS: In all patients treated with this approach, IOFBs were successfully removed without intraoperative or postoperative complications, and postoperative intraocular lens centralization was achieved in all patients.
CONCLUSIONS: This approach may provide practicality to the intraocular lens blocking technique.
摘要:
目的:所描述的用于去除眼内异物(IOFB)的人工晶状体(IOL)阻断技术是为了防止异物由于从角膜切口中去除时遇到的阻力而缩回到后段中而出现的。然而,在所描述的技术中,除了外科手术的难度,新的关注点是根据异物的大小创建后撕囊,并使异物通过撕囊。
方法:这里我们描述了一种IOL阻断技术的新方法。在这种方法中,IOFB,用眼内钳固定,后囊没有任何开口,保持在垂直于长轴的位置,直接提升到前房,并从整体可折叠IOL的正面安全移除。
结果:在采用这种方法治疗的所有患者中,成功取出IOFBs,无术中或术后并发症,所有患者均实现术后IOL集中。
结论:这种方法可能为IOL阻断技术提供实用性。
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