PDF(Pubmed)
Abstract：
This retrospective study aimed to compare the outcomes of modified double-flanged sutureless scleral fixation versus sutured scleral fixation. Medical records of 65 eyes from 65 patients who underwent double-flanged scleral fixation (flange group) or conventional scleral fixation (suture group) between 2021 and 2022 were reviewed. Visual and refractive outcomes, as well as postoperative complications, were compared 1, 2, and 6 months after surgery. We included 31 eyes in the flange group and 34 eyes in the suture group. At 6 months postoperatively, the flange group showed better uncorrected visual acuity (0.251 ± 0.328 vs. 0.418 ± 0.339 logMAR, P = 0.041) and a smaller myopic shift (- 0.74 ± 0.93 vs. - 1.33 ± 1.15 diopter, P = 0.007) compared to the suture group. The flange group did not experience any instances of iris capture, while the suture group had iris capture in 10 eyes (29.4%; P < 0.001). In the flange group, all intraocular lenses remained centered, whereas in the suture group, they were decentered in 8 eyes (23.5%; P = 0.005). The double-flanged technique not only prevented iris capture and decentration of the intraocular lens but also reduced myopic shift by enhancing the stability of the intraocular lens.
摘要：
这项回顾性研究旨在比较改良的双法兰无缝线巩膜固定术与缝线巩膜固定术的效果。回顾了2021年至2022年间接受双法兰巩膜固定术（法兰组）或常规巩膜固定术（缝合组）的65例患者的65眼病历。视觉和屈光结果，以及术后并发症，术后1、2和6个月进行比较。我们在凸缘组中包括31只眼，在缝合组中包括34只眼。术后6个月，法兰组的未矫正视力较好（0.251±0.328vs.0.418±0.339logMAR,P=0.041）和较小的近视偏移（-0.74±0.93vs.-1.33±1.15屈光度，P=0.007）与缝合组相比。法兰组没有经历任何虹膜捕获的情况，缝合组有10只眼虹膜捕获（29.4％；P<0.001）。在法兰组中，所有人工晶状体保持居中,而在缝合组中，8只眼(23.5%;P=0.005)。双法兰技术不仅可以防止虹膜捕获和人工晶状体的偏心，而且可以通过增强人工晶状体的稳定性来减少近视偏移。
