目的：确定平坦部玻璃体切除术（PPV）和4点Gore-Tex缝合AkreosAO60人工晶状体（IOL）巩膜固定术的长期解剖结果和手术并发症。
方法：回顾性，多中心，多外科医生病例系列。
方法：三级眼科护理中心97名患者。
方法：患者在2015年1月至2020年4月期间使用Gore-TexCV-8缝线对AkreosAO60IOL进行PPV和眼内固定。纳入标准是无晶状体，没有囊状物支撑,和最少1年的随访。
方法：非矫正视力（VA），并发症发生率或类型，和折射。
结果：分析了97例患者的101只眼的数据（平均随访时间，33.4个月；范围，12-62个月）。最小分辨率角度VA的平均±标准偏差未校正对数从术前的1.04±0.73（20/200Snellen当量）提高到术后6个月的0.66±0.65（20/80）（P<0.001）。最常见的并发症包括低眼压（12.9%），高眼压(12.9%),角膜水肿（8.9%），黄斑囊样水肿（6.9%），玻璃体出血（5.9%）。在手术后3至6个月之间测量屈光度，61.8%的患者具有±2.0屈光度的球面当量。大多数并发症发生在术后第一个月，可以自发或通过药物治疗解决。
结论：结果表明，这种手术技术对眼睛有很好的耐受性，长期并发症发生率低。在长达62个月的随访中，IOL混浊的发生率很少。
To determine the long-term anatomic outcomes and surgical complications of pars plana vitrectomy (PPV) and 4-point Gore-Tex-sutured Akreos AO60 intraocular lens (IOL) scleral fixation.
Retrospective, multicenter, multisurgeon
case series.
Ninety-seven patients in tertiary eye care centers.
The patients underwent PPV and intraocular fixation of the Akreos AO60 IOL using Gore-Tex CV-8 sutures between January 2015 and April 2020. The inclusion criteria were aphakia, no capsular support, and a minimal 1 year of follow-up.
Uncorrected visual acuity (VA), complication rates or types, and refraction.
Data from 101 eyes of the 97 patients were analyzed (mean follow-up duration, 33.4 months; range, 12-62 months). The mean ± standard deviation uncorrected logarithm of the minimum angle of resolution VA improved from 1.04 ± 0.73 (20/200 Snellen equivalent) before surgery to 0.66 ± 0.65 (20/80) at 6 months after surgery (P < 0.001). The most prevalent complications included hypotony (12.9%), ocular hypertension (12.9%), corneal edema (8.9%), cystoid macular edema (6.9%), and vitreous hemorrhage (5.9%). Refraction was measured between 3 and 6 months after surgery, and 61.8% of the patients had spherical equivalent of ± 2.0 diopters. Most complications occurred in the first postoperative month and resolved spontaneously or with medical treatment.
The results demonstrated that this surgical technique is well tolerated by the eyes, with a low complication rate in the long term. The rates of IOL opacification were infrequent for up to 62 months of follow-up.
