■白内障手术是全球范围内最常见的外科手术之一。白内障摘除成功后,通常将人工晶状体(IOL)植入物放置在囊袋中。然而,在没有足够的囊膜支撑的情况下,IOL可以放置在前房中,固定在虹膜或巩膜上。本研究的目的是报告使用巩膜瓣的经巩膜缝合人工晶状体(IOL)技术的临床结果和安全性。玻璃体切除术,和Gore-Tex缝合后房型人工晶状体。
■回顾性,使用Gore-Tex缝合并同时进行玻璃体切除术进行人工晶状体巩膜固定的介入病例系列。以最小分辨率视敏度(logMARBCVA)的对数进行眼部检查,眼压测定,并在术后1,3,6和12个月对所有患者进行裂隙灯生物显微镜检查。记录所有术后并发症。
■纳入25例患者的25只眼。平均logMARBCVA从术前的0.43±0.36(20\\40Snellen当量)提高到术后12个月的0.13±0.18(20\\25Snellen当量)(p<0.01)。适应症包括手术无晶状体眼(16)和脱位晶状体植入物(9)。没有IOL混浊的病例,脉络膜上腔出血,术后眼内炎,人工晶状体脱位,Gore-Tex暴露,或在随访期间观察到视网膜脱离。
■使用Gore-Tex缝线加巩膜瓣对人工晶状体进行外巩膜固定的耐受性良好,并且缝线剥脱率非常低。此外,我们的研究证实了手术后良好的屈光效果.
UNASSIGNED: Cataract surgery is one of the most common surgical procedures performed worldwide. Intraocular lens (IOL) implants are placed routinely in the capsular bag after successful cataract extraction. However, in the absence of adequate capsular support, IOL may be placed in the anterior chamber, fixated to the iris or fixated to the sclera. The purpose of this study is to report the clinical outcomes and safety profile of a trans-scleral sutured intraocular lens (IOL) technique using scleral flaps, vitrectomy, and Gore-Tex suture to place posterior chamber IOL.
UNASSIGNED: Retrospective, interventional case series of eyes undergoing scleral fixation of an IOL using Gore-Tex suture with concurrent vitrectomy. Ocular examination with the logarithm of the minimum angle of resolution visual acuity (logMAR BCVA), tonometry, and slit-lamp biomicroscopy was performed on all patients at 1, 3, 6, and 12 months after the operation. All post-operative complications were recorded.
UNASSIGNED: Twenty-five eyes of 25 patients were included. Mean logMAR BCVA improved from 0.43 ± 0.36 (20\\40 Snellen equivalent) preoperatively to 0.13 ± 0.18 (20\\25 Snellen equivalent) postoperatively at 12 months (p<0.01). Indications included surgical aphakia (16) and dislocated lens implant (9). No cases of IOL opacification, suprachoroidal haemorrhage, post-operative endophthalmitis, IOL dislocation, Gore-Tex exposure, or retinal detachment were observed during the follow-up period.
UNASSIGNED: Ab externo scleral fixation of IOLs with Gore-Tex suture plus scleral flap is well tolerated and associated with a very low rate of suture exposition. Moreover, our study confirms excellent refractive outcomes after surgery.