Abstract：
UNASSIGNED: To compare the outcomes of anterior chamber intraocular lens (AC-IOL) implantation versus the four-flanged scleral fixation technique in eyes with loss of capsular support during routine cataract surgery.
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.].
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.].
摘要：
■比较前房人工晶状体（AC-IOL）植入术与四凸缘巩膜固定技术在常规白内障手术中囊膜支撑丧失的情况。
■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。].
■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。].
