UNASSIGNED: This was a retrospective cohort study of all patients in whom an IOL was implanted either during or after short-term aphakia due to loss of capsular and sulcus support in a routine cataract surgery with at least 6 months of follow-up time between 2015 and 2023 in a tertiary medical center in Israel. Two different IOL implantation techniques were compared: the implantation of an angle-supported ACIOL and four-flanged scleral fixation. Main outcome measures included postoperative complications such as pseudophakic bullous keratopathy, loss of intraocular pressure control and glaucoma, IOL subluxation, and retinal detachment.
UNASSIGNED: Sixty-five eyes of 65 patients were included in the study, 33 eyes in the AC-IOL group and 32 eyes in the flange group. Follow-up time was 29.92 ± 20.02 months in the AC-IOL group and 20.17 ± 15.56 months in the flange group (P = .087). Pseudophakic bullous keratopathy was observed in 10 (30.3%) patients in the AC-IOL group and in 1 (3.1%) patient in the flange group (P = .04). This association remained significant using survival analysis (P = .006). In 4 (12.1%) patients in the AC-IOL group, a glaucoma filtering procedure was performed to control the intraocular pressure compared with none in the flange group (P = .042).
UNASSIGNED: In the setting of loss of capsular support during routine cataract surgery, four-flanged scleral fixation showed an overall lower rate of complications and significantly reduced rate of subsequent surgical interventions. [J Refract Surg. 2024;40(8):e520-e526.].
■这是一项回顾性队列研究,研究对象是所有在以色列三级医疗中心进行的常规白内障手术中,由于囊和沟支撑丧失而在短期无晶状体眼期间或之后植入IOL的患者,随访时间在2015年至2023年之间至少6个月。比较了两种不同的IOL植入技术:角度支撑的ACIOL植入和四法兰巩膜固定术。主要结局指标包括术后并发症,如假晶状体大疱性角膜病变,眼压控制和青光眼的丧失,人工晶状体半脱位,和视网膜脱离.
■65名患者的65只眼被纳入研究,AC-IOL组33只眼,法兰组32只眼。随访时间AC-IOL组为29.92±20.02个月,法兰组为20.17±15.56个月(P=.087)。在AC-IOL组中的10例(30.3%)患者和法兰组中的1例(3.1%)患者中观察到假晶状体大疱性角膜病变(P=0.04)。使用生存分析(P=.006),这种关联仍然显着。在AC-IOL组的4例(12.1%)患者中,进行青光眼滤过手术以控制眼压,与法兰组的无眼压相比(P=0.042).
■在常规白内障手术中失去囊支撑的情况下,四凸缘巩膜固定术显示并发症的总体发生率较低,后续手术干预的发生率显著降低.[JRefractSurg.2024;40(8):e520-e526。].