■术后亲水性人工晶状体混浊可导致视力下降,可能需要更换人工晶状体。本研究旨在确定巩膜固定的AkreosAO60(BauschLomb)晶状体混浊的发生率以及该现象的危险因素。
■这是2015年1月1日至2019年12月31日在我们机构接受巩膜固定的AkreosAO60晶状体的所有患者的回顾性病例系列。记录了以下数据:年龄,性别,病史,AkreosAO60植入的适应症,偏侧性,眼部病史,以前的眼外科手术,Akreos植入后的后续眼内外科手术,晶状体混浊,不透明的视觉意义,和Akreos的外植体.记录术中、术后并发症。主要结果指标是Akreos晶状体混浊的总体发生率以及这些眼睛随后进行眼内手术的发生率。
■共有257例患者的262只眼接受了Akreos晶状体植入术。总的来说,2%(262个中的5个)发展晶状体混浊。两名患者同时进行了Descemet剥离自动内皮角膜移植术(DSAEK)和Akreos植入术。一名患者随后接受了Baerveldt青光眼植入术和DSAEK。第四例患者使用六氟化硫气体进行玻璃体切除术,然后进行DSAEK。在所有接受DSAEK的患者中,这代表了25%(16例中的4例)的混浊率(P≤0.01,Fisher精确检验)。一名患者在没有DSAEK的情况下接受2次玻璃体切除术治疗视网膜脱离后出现混浊。
■Akreos晶状体混浊可能在视觉上很明显,并且可能在涉及使用眼内气体或空气的视网膜或角膜手术后发生。
UNASSIGNED: Postoperative hydrophilic intraocular lens opacification can lead to decreased vision and may require intraocular lens exchange. This study aims to identify the incidence of scleral-fixated Akreos AO60\'s (Bausch + Lomb) lens opacification and risk factors for this phenomenon.
UNASSIGNED: This is a retrospective
case series of all patients who underwent scleral-fixated Akreos AO60 lens at our institution between January 1, 2015 and December 31, 2019. The following data were recorded: age, sex, medical history, indication for Akreos AO60 implantation, laterality, ocular history, previous ocular surgical procedures, subsequent intraocular surgical procedures after the Akreos implantation, lens opacification, visual significance of opacification, and Akreos explantation. Intraoperative and postoperative complications were recorded. Main outcome measures were the overall incidence of Akreos lens opacification as well as the incidence of these eyes undergoing subsequent intraocular surgery.
UNASSIGNED: A total of 262 eyes of 257 patients underwent Akreos lens implantation. Overall, 2% (5 of 262) developed lens opacification. Two patients had Descemet stripping automated endothelial keratoplasty (
DSAEK) concurrently with Akreos implantation. One patient underwent subsequent Baerveldt glaucoma implantation and
DSAEK. The fourth patient had vitrectomy with sulfur hexafluoride gas followed by
DSAEK. This represents a 25% (4 of 16) opacification rate among all patients who underwent
DSAEK (P ≤ .01, Fisher exact test). One patient developed opacification after undergoing 2 vitrectomies for retinal detachment in the absence of DSAEK.
UNASSIGNED: Akreos lens opacification can be visually significant and may occur after a retinal or corneal procedure that involves the use of intraocular gas or air.