■评估在白内障摘除并发症后后囊不足的受试者中,三片刚性巩膜固定人工晶状体(SFIOL)植入的手术视觉效果。
■回顾性4年队列研究。
■纳入了在2018年1月至2022年3月期间接受SFIOL联合平坦部玻璃体切除术(PPV)的174只眼的数据,并进行了随访检查。
■人口统计学特征,包括手术的主要适应症,外伤史,偏侧性,基线和最佳矫正视力(BCVA),折射为等效球面(SE),眼内压(IOP),随访时间,并对并发症进行分析。
■术前平均BCVA为最小分辨角(logMAR)的1.38±0.46对数,显著提高至0.37±0.22logMAR。以等效球面(SE)测量的基线屈光状态为4.1±6.2屈光度(D),术后状态为-0.4±0.97D。术后早期并发症包括低眼压(n=1;0.57%,玻璃体出血(n=3;1.72%),IOP升高(n=8;4.59%),轻度瞳孔扩张(n=1;0.57%)和角膜水肿(n=16;9.19%)。本研究的晚期并发症包括视网膜脱离(n=1;0.57%),黄斑囊样水肿(CME)(n=1;0.57%),原发性青光眼(n=1;0.57%),继发性青光眼(n=13;7.47%),带状裂开(n=3;1.72%),视网膜色素上皮(RPE)变化(n=3;1.72%),脉络膜缺损(n=2;1.14%),后房型人工晶状体(PCIOL)后脱位(n=1;0.57%),角膜代偿失调(n=1;0.57%),视网膜出血(n=1;0.57%),黄斑裂孔(n=1;0.57%),慢性葡萄膜炎(n=1;0.57%),轻度非增生性糖尿病视网膜病变(NPDR)(n=3;1.72%),和轻度NPDR伴糖尿病性黄斑水肿(DME)(n=1;0.57%)。
■将人工晶体植入术与玻璃体切除术相结合,在相同的环境中,各种后段并发症得以解决,而无需尝试第二次手术。
UNASSIGNED: To evaluate the surgical visual outcomes of three-piece rigid scleral fixated intraocular lens (SFIOL) implantation in subjects with deficient posterior capsule following complications of cataract extraction.
UNASSIGNED: Retrospective 4-year cohort study.
UNASSIGNED: Data from 174 eyes that underwent SFIOL combined with pars plana vitrectomy (PPV) between January 2018 and March 2022 and follow-up exams were included.
UNASSIGNED: Demographic characteristics including primary indications for surgery, history of trauma, laterality, baseline and best-corrected visual acuity (BCVA), refraction as spherical equivalent (SE), intraocular pressure (IOP), duration of follow-up, and complications were analyzed.
UNASSIGNED: The mean preoperative BCVA was 1.38 ± 0.46 logarithm of the minimum angle of resolution (logMAR), which improved significantly to 0.37 ± 0.22 logMAR. The baseline refractive status measured in spherical equivalent (SE) was 4.1 ± 6.2 Diopters (D), and the postoperative status was -0.4 ± 0.97 D. Early postoperative complications included hypotony (n = 1; 0.57%, vitreous hemorrhage (n = 3; 1.72%), elevated IOP (n = 8; 4.59%), mild dilated pupil (n = 1; 0.57%) and corneal edema (n = 16; 9.19%). Late complications included in this study were retinal detachment (n = 1; 0.57%), cystoid macular edema (CME) (n = 1; 0.57%), primary glaucoma (n = 1; 0.57%), secondary glaucoma (n = 13; 7.47%), zonular dehiscence (n = 3; 1.72%), retinal pigment epithelium (RPE) changes (n = 3; 1.72%), choroidal coloboma (n = 2; 1.14%), posterior dislocation of posterior chamber IOL (PCIOL) (n = 1; 0.57%), corneal decompensation (n = 1; 0.57%), retinal hemorrhage (n = 1; 0.57%), macular hole (n = 1; 0.57%), chronic uveitis (n = 1; 0.57%), mild non-proliferative diabetic retinopathy (NPDR) (n = 3; 1.72%), and mild NPDR with diabetic macular edema (DME) (n = 1; 0.57%).
UNASSIGNED: Integrating IOL implantation with vitrectomy various posterior segment complications were resolved in the same setting without attempting a second surgery.