目标:缺乏标准技术,无晶状体囊的手术治疗仍有待优化。这项研究的目的是分析CarlevaleFIL-SSF人工晶状体的结果并提出手术建议。
方法:P1.5集体进行了回顾性分析,至少随访6个月,在72例CarlevaleFIL-SSF人工晶状体植入的记录中,专为睫状沟无缝线巩膜固定而设计。
结果:最常见的适应症是后房型人工晶状体交换(70.8%)。由于巩膜瓣的产生,手术平均持续了53.4分钟。在12.5%的病例中,植入物受损。83.3%的病例视力提高。术后球面当量为-0.3屈光度,角膜散光没有变化。植入物在所有情况下都居中且稳定。观察到2例(2.8%)囊样黄斑水肿,并在六个月内消退。
结论:CarlevaleFIL-SSF人工晶状体的许多优点使其成为在没有囊支持的情况下矫正无晶状体眼的安全有效的解决方案。它需要比通常更长的外科手术,植入物必须小心处理。根据他们的经验,作者提出了7条加快学习曲线的建议。
结论:根据本研究的结果,我们建议CarlevaleFIL-SSF人工晶状体作为无囊膜支撑无晶状体眼矫正的新标准,但是其他研究是必要的,以确定其在其他可用技术的继承人中的确切位置。
OBJECTIVE: Lacking a standard technique, the surgical management of aphakia without capsular support remains to be optimized. The goal of this
study is to analyze results for the Carlevale FIL-SSF intraocular lens and propose surgical recommendations.
METHODS: The P1.5 Collective performed a retrospective analysis, with a minimum follow-up of 6 months, of the records of 72 implantations of the Carlevale FIL-SSF intraocular lens, specifically designed for sutureless scleral fixation in the ciliary sulcus.
RESULTS: The most common indication was exchange of a posterior chamber intraocular lens (70.8%). The surgery lasted a mean of 53.4minutes due to the creation of scleral flaps. The implant was damaged in 12.5% of cases. Visual acuity was improved in 83.3% of cases. The postoperative spherical equivalent was -0.3 diopters, with no change in corneal astigmatism. The implant was centered and stable in all cases. Two cases (2.8%) of cystoid macular edema were observed and resolved over six months.
CONCLUSIONS: A number of advantages of the Carlevale FIL-SSF intraocular lens make it a safe and effective solution for correction of aphakia in the absence of capsular support. It requires a longer than usual surgical procedure, and the implant must be handled with care. From their experience, the authors propose 7 recommendations to accelerate the learning curve.
CONCLUSIONS: In light of the results of this
study, we propose the Carlevale FIL-SSF intraocular lens as the new standard for the correction of aphakia without capsular support, but other studies are necessary to determine its exact place within the heirarchy of other available techniques.