Scleral-fixated vs Iris-fixated intraocular lens in pediatric ectopia lentis: A systematic review.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

European Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-03-27 DOI:10.1177/11206721241242158

Siti Halida Zoraida Soraya Alamsjah, Dian Estu Yulia, Sabrina Tan

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引用次数: 0

Abstract

Numerous intraocular lens (IOLs) options are available for treating pediatric ectopia lentis, and this paper reviews recent literature on pediatric ectopia lentis treatment with iris-fixated and scleral-fixated IOLs. A comprehensive search was undertaken on PubMed, Embase, ProQuest, Cochrane, Wiley, SCOPUS, and EBSCO. Studies published in the last ten years that met the inclusion criteria were included in this review. Seventeen studies exhibiting low to moderate risk of bias were included in this review, with eight on iris-fixated IOL (IFIOL), six on scleral-fixated IOL (SFIOL), and three on both IOLs. From the included studies, these data were extracted and compared: best-corrected visual acuity, endothelial cell density, postoperative complications, IOL stability, and intraocular pressure. IFIOL and SFIOL show comparable lens stability, offer good visual rehabilitation, and demonstrate equivalent safety profiles. There is no discerning superiority between IFIOL and SFIOL in treating pediatric ectopia lentis. The choice of which IOL to implant depends on the surgeon's preference.

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巩膜固定与虹膜固定人工晶体在小儿眼球外翻中的应用：系统性综述。

目前有多种眼内人工晶体（IOLs）可供选择，用于治疗小儿眼睑外翻，本文回顾了使用虹膜固定和巩膜固定 IOLs 治疗小儿眼睑外翻的最新文献。我们在 PubMed、Embase、ProQuest、Cochrane、Wiley、SCOPUS 和 EBSCO 上进行了全面检索。过去十年中发表的符合纳入标准的研究被纳入本综述。有 17 项研究显示存在低至中度偏倚风险，其中 8 项研究涉及虹膜固定 IOL（IFIOL），6 项研究涉及巩膜固定 IOL（SFIOL），3 项研究涉及两种 IOL。从纳入的研究中提取并比较了以下数据：最佳矫正视力、内皮细胞密度、术后并发症、人工晶体稳定性和眼压。IFIOL 和 SFIOL 的镜片稳定性相当，视觉康复效果良好，安全性也相当。IFIOL 和 SFIOL 在治疗小儿眼睑外翻方面没有明显的优劣之分。选择植入哪种人工晶体取决于外科医生的偏好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.