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Abstract：
Aim: To compare the anatomical and functional results and patient satisfaction following retropupillary implantation of Artisan Aphakia iris-fixated intraocular lens (rAAIF) and sutured scleral fixated intraocular lens (SFIOL). Subjects and methods: We presented a prospective double-arm non-blinded study. Forty-one eyes with acquired aphakia, no age-related macular degeneration, no previous keratoplasty, no combined procedures, no AC reaction (cells, fibrin), normal intraocular pressure, no history of endothelial corneal dystrophy in relatives or fellow eye were included. Indications, complications, corrected distance visual acuity (CDVA), endothelial cell density (ECD), and patient satisfaction score were assessed. Results: Retropupillary AAIF was implanted in 21 (51.22%) eyes and SFIOL in 20 (48.78%) eyes. The most common indication was complicated cataract surgery in 18 cases (43.90%), followed by trauma in 16 (39.02%), and spontaneous dislocation in 7 (17.07%). No difference between rAAIF and SFIOL in terms of sex, laterality (χ=0.13, p=0.72), indications (χ=0.78, p=0.68), previous ocular history, and comorbidities was observed. The complications and the visual outcomes at 6 months postoperatively were similar between the two groups (p=0.95 and p=0.321, respectively). The ECD loss in the two groups was also similar (p=0.89). The patient satisfaction score was 58.67±8.80 in the rAAIF and 56.69±11.50 in the SFIOL group, which was statistically similar (p=0.764). Conclusion: Retropupillary AAIF and SFIOL showed similar results concerning visual acuity, endothelial cell loss, and patient satisfaction. Careful preoperative individual assessment is required to have optimal results with either technique. Abbreviations: AAIF = Artisan Aphakia iris-fixated intraocular lens, rAAIF = retropupillary Artisan Aphakia iris-fixated intraocular lens, CDVA = corrected distance visual acuity, ECD = endothelial cell density, IOL = intraocular lens, SD = standard deviation, SFIOL = scleral fixated intraocular lens.
摘要：
目的：比较瞳孔后植入Artisan无晶状体虹膜固定人工晶状体（rAAIF）和缝合巩膜固定人工晶状体（SFIOL）后的解剖学和功能结果以及患者满意度。受试者和方法：我们提出了一项前瞻性双臂非盲研究。41只眼睛患有获得性无晶状体，无年龄相关性黄斑变性,以前没有角膜移植术,没有合并程序，无AC反应（细胞，纤维蛋白)，正常眼压，未纳入亲属或同眼内皮角膜营养不良的病史.指示,并发症,矫正视力（CDVA），内皮细胞密度（ECD），并评估患者满意度评分。结果：21只（51.22％）眼植入瞳孔后AAIF，20只（48.78％）眼植入SFIOL。最常见的指征是复杂性白内障手术18例（43.90%），其次是创伤16人(39.02%)，和自发位错7（17.07%）。rAAIF和SFIOL在性别方面没有区别，侧向性(χ=0.13，p=0.72)，适应症(χ=0.78，p=0.68)，既往眼部病史,并观察到合并症。两组术后6个月的并发症和视力结果相似（分别为p=0.95和p=0.321）。两组的ECD损失也相似（p=0.89）。rAAIF组患者满意度评分为58.67±8.80,SFIOL组患者满意度评分为56.69±11.50,统计学上相似(p=0.764)。结论：瞳孔后AAIF和SFIOL在视力方面显示相似的结果，内皮细胞丢失，患者满意度。需要仔细的术前个人评估，以获得两种技术的最佳结果。缩写：AAIF=Artisan无晶状体虹膜固定人工晶状体，rAAIF=瞳孔后Artisan无晶状体虹膜固定人工晶状体，CDVA=校正的远距视力,ECD=内皮细胞密度，IOL=人工晶状体，SD=标准偏差，SFIOL=巩膜固定人工晶状体。
