UNASSIGNED:分析使用不同手术技术的二次IOL植入后的视觉和屈光结果-虹膜爪无晶状体IOL通过角膜切口或巩膜隧道,三片IOL进入睫状沟。
UNASSIGNED:回顾性研究,包括2017年1月至2019年12月在布拉加医院眼科接受二次IOL植入的患者,葡萄牙。我们收集了人口统计数据(年龄,手术适应症,合并症,外科技术,人工晶状体植入,以及术中和术后并发症)以及视觉和屈光数据[术前和3个月,6个月,术后12个月矫正视力(CDVA),球形当量(SE),清单气瓶,和眼压]。
UNASSIGNED:纳入123例患者的128只眼。最常见的手术指征是人工晶状体半脱位/脱位(62.5%)和术中后囊破裂(23.4%)。CDVA从1.26±0.51提高到0.47±0.49logMar(p<.001)。3片入睫状沟IOL组的CDVA明显优于其他两组。最终SE为-0.68±0.94屈光度。平均表现屈光圆柱保持稳定,直到手术后第6个月(p=.454),并在最后6个月的随访中有所改善(p=.015)。在术后期间,角膜切口虹膜爪无晶状体IOL组的圆柱体较高,睫状沟组的3片IOL较低(p<0.05)。角膜切口虹膜爪无晶状体人工晶状体组术后并发症最多。
UNASSIGNED:所有技术都显示出令人满意的结果。3片IOL入睫状沟组显示出最佳的视觉和屈光性能,其次是巩膜隧道虹膜爪IOL组和角膜切口虹膜爪IOL组。
UNASSIGNED: To analyze the visual and refractive results after secondary IOL implantation using different surgical techniques - iris-claw aphakic IOL through a corneal incision or scleral tunnel, and 3-piece IOL into the ciliary sulcus.
UNASSIGNED: Retrospective study including patients that were submitted to secondary IOL implantation from January 2017 to December 2019 at the Department of Ophthalmology of Hospital de Braga, Portugal. We collected demographic data (age, surgical indication, comorbidities, surgical technique, IOL implanted, and intra and postoperative complications) and visual and refractive data [preoperative and 3-month, 6-month, and 12-month postoperative corrected-distance visual acuity (CDVA), spherical equivalent (SE), manifest cylinder, and intraocular pressure].
UNASSIGNED: 128 eyes from 123 patients were included. The most frequent surgical indications were IOL subluxation/luxation (62.5%) and intraoperative posterior capsular rupture (23.4%). CDVA improved from 1.26 ± 0.51 to 0.47 ± 0.49 logMar (p < .001). CDVA was significantly better in the 3-piece into the ciliary sulcus IOL group than both other groups. The final SE was -0.68 ± 0.94 diopters. The mean manifest refractive cylinder remained stable until the 6th month after the surgery (p = .454) and improved in the last 6 months of follow-up (p = .015). In the postoperative period, the cylinder was higher in the corneal incision iris-claw aphakic IOL group and lower in the 3-piece IOL into the ciliary sulcus group (p < 0,05). The corneal incision iris-claw aphakic IOL group presented the most postoperative complications.
UNASSIGNED: All techniques showed satisfying results. The 3-piece IOL into the ciliary sulcus group showed the best visual and refractive performance, followed by the scleral tunnel iris-claw IOL group and the corneal incision iris-claw IOL group.