PDF(Pubmed)
Abstract：
UNASSIGNED: Surgical correction of aphakia without capsular support continues to be a challenge. Improvements in the technology of cataract surgery have provided advancements in techniques in surgical management of aphakia. Locally, we have limited data on the outcomes of the different intraocular lenses used in aphakia.
UNASSIGNED: This study aimed to determine visual outcomes and complications associated with different techniques of intraocular lens implantation in the absence of capsular support.
UNASSIGNED: We reviewed the medical charts of 207 patients who underwent intraocular lens implantation without capsular support. Excluded were patients with incomplete follow up, pediatric patients, and lost records. Best corrected visual acuity at day 1, 1st month, 3rd month and 6th month postoperatively, and the complications were noted.
UNASSIGNED: Mean age was 60 and 51% (n=105) were females. The mean follow-up time was 9.33 ± 0.71 months. Loss of capsular support was most frequently caused by intraoperative complication (n=146, 70%) and trauma. Retropupillary fixation iris claw intraocular lens was frequently used (n=93, 44.9%). Across all patients, visual acuities showed excellent outcomes with 20/50 or better. Across IOL types, the most frequent postoperative complication was increase in IOP. Statistically significant results were set at P <0.05.
UNASSIGNED: There is a notable preference towards iris claw retropupillary lenses through time. Iris claw lenses showed the shortest operative time. All intraocular lenses used in aphakia showed comparably good postoperative visual acuities, except for the superior visual acuity trend seen among retropupillary iris claw and anterior chamber IOL groups. Complications included elevated intraocular pressures, corneal edema, and pigment dispersion.
UNASSIGNED: This study aimed to determine visual outcomes and complications associated with different techniques of intraocular lens implantation in the absence of capsular support.
UNASSIGNED: We reviewed the medical charts of 207 patients who underwent intraocular lens implantation without capsular support. Excluded were patients with incomplete follow up, pediatric patients, and lost records. Best corrected visual acuity at day 1, 1st month, 3rd month and 6th month postoperatively, and the complications were noted.
UNASSIGNED: Mean age was 60 and 51% (n=105) were females. The mean follow-up time was 9.33 ± 0.71 months. Loss of capsular support was most frequently caused by intraoperative complication (n=146, 70%) and trauma. Retropupillary fixation iris claw intraocular lens was frequently used (n=93, 44.9%). Across all patients, visual acuities showed excellent outcomes with 20/50 or better. Across IOL types, the most frequent postoperative complication was increase in IOP. Statistically significant results were set at P <0.05.
UNASSIGNED: There is a notable preference towards iris claw retropupillary lenses through time. Iris claw lenses showed the shortest operative time. All intraocular lenses used in aphakia showed comparably good postoperative visual acuities, except for the superior visual acuity trend seen among retropupillary iris claw and anterior chamber IOL groups. Complications included elevated intraocular pressures, corneal edema, and pigment dispersion.
摘要：
■无晶状体囊支撑的手术矫正仍然是一个挑战。白内障手术技术的改进提供了无晶状体眼手术管理技术的进步。本地,关于无晶状体眼使用不同人工晶状体的结果,我们的数据有限.
■本研究旨在确定在没有囊支撑的情况下，与不同人工晶状体植入技术相关的视觉结果和并发症。
■我们回顾了207例没有囊支撑的人工晶状体植入术患者的医疗图表。排除未完成随访的患者，儿科患者,丢失了记录。最佳矫正视力在第1天，第1个月，术后第3个月和第6个月，并注意到并发症。
■平均年龄为60岁，女性为51％（n=105）。平均随访时间为9.33±0.71个月。囊袋支持的丧失最常见的原因是术中并发症（n=146，70％）和外伤。经常使用瞳孔后固定虹膜爪人工晶状体（n=93，占44.9％）。在所有患者中，视力在20/50或更好的情况下显示出优异的结局.跨IOL类型，术后最常见的并发症是IOP升高.具有统计学意义的结果设置为P<0.05。
■随着时间的推移，人们对虹膜爪瞳孔后晶状体有明显的偏好。虹膜爪晶状体显示最短的手术时间。所有用于无晶状体眼的人工晶状体显示出相当好的术后视力，除了在瞳孔后虹膜爪和前房IOL组中观察到优越的视力趋势。并发症包括眼压升高，角膜水肿,和颜料分散体。
■本研究旨在确定在没有囊支撑的情况下，与不同人工晶状体植入技术相关的视觉结果和并发症。
■我们回顾了207例没有囊支撑的人工晶状体植入术患者的医疗图表。排除未完成随访的患者，儿科患者,丢失了记录。最佳矫正视力在第1天，第1个月，术后第3个月和第6个月，并注意到并发症。
■平均年龄为60岁，女性为51％（n=105）。平均随访时间为9.33±0.71个月。囊袋支持的丧失最常见的原因是术中并发症（n=146，70％）和外伤。经常使用瞳孔后固定虹膜爪人工晶状体（n=93，占44.9％）。在所有患者中，视力在20/50或更好的情况下显示出优异的结局.跨IOL类型，术后最常见的并发症是IOP升高.具有统计学意义的结果设置为P<0.05。
■随着时间的推移，人们对虹膜爪瞳孔后晶状体有明显的偏好。虹膜爪晶状体显示最短的手术时间。所有用于无晶状体眼的人工晶状体显示出相当好的术后视力，除了在瞳孔后虹膜爪和前房IOL组中观察到优越的视力趋势。并发症包括眼压升高，角膜水肿,和颜料分散体。
