6/0 prolene double-flanged IOL sutureless scleral fixation with a 27-gauge needle for intraocular lens surgery.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-10-16 DOI:10.1097/IAE.0000000000004289

Shu-I Pao, Yun-Hsiang Chang, Jiann-Torng Chen

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引用次数: 0

Abstract

Purpose: To report our initial experience of a modified intraocular lens (IOL) scleral fixation technique using 6/0 prolene in a double-flanged sutureless technique with a 27-gauge needle.

Methods: 29 consecutive patients with IOL surgery were retrospectively reviewed between December 2021 and October 2023. Early Treatment Diabetic Retinopathy Study (ETDRS) letters, spherical equivalent (SE), astigmatism axial degree and intraocular pressure (IOP) were evaluated at baseline, and 1, 2, 3, and 6 months postoperatively. Surgery-related complications were evaluated during follow-up.

Results: ETDRS letters or SE at 1, 2, 3, and 6 months postoperation was significantly improved compared to baseline levels. Patients with younger (estimate [SE] = 8.011 [2.485], p = 0.006), preoperative lens drop (estimate [SE] = 8.621 [2.906], p = 0.009), idiopathic cataract (estimate [SE] = 6.021 [2.099], p = 0.048), high baseline ETDRS letters (estimate [SE] = 15.449 [2.352], p < 0.001), or low baseline SE (estimate [SE] = 6.357 [2.406], p = 0.018) had the greatest improvement in ETDRS letters during follow-up. Patients with preoperative lens or IOL dislocation had a greater postoperative SE improvement than those with preoperative lens or IOL subluxation (dislocation vs. subluxation: estimate [SE] = -189.235 [70.692], p = 0.016). There were no cases of vitreous hemorrhage, cystoid macular edema, endophthalmitis, subluxation or dislocation were observed during the 6-month follow-up.

Conclusions: Our modified IOL scleral fixation technique is a simple, safe, efficient method that avoids haptic manipulation and slippage, reduces postoperative complications, achieves completely sutureless surgery, and results in an achievement of surgical refractive goals.

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使用 27 号针头将 6/0 prolene 双瓣人工晶体无缝线巩膜固定在眼内晶体手术中。

目的：报告我们使用 6/0 prolene 的改良眼内人工晶体（IOL）巩膜固定技术的初步经验，该技术采用 27 号针头的双瓣无缝合技术。方法：对 2021 年 12 月至 2023 年 10 月期间接受 IOL 手术的 29 例连续患者进行了回顾性研究。在基线和术后 1、2、3 和 6 个月评估了早期治疗糖尿病视网膜病变研究（ETDRS）的字母、球面等值（SE）、散光轴度和眼压（IOP）。随访期间对手术相关并发症进行了评估：结果：与基线水平相比，术后 1、2、3 和 6 个月的 ETDRS 信度或 SE 显著改善。较年轻（估计值 [SE] = 8.011 [2.485]，P = 0.006）、术前晶状体下降（估计值 [SE] = 8.621 [2.906]，P = 0.009）、特发性白内障（估计值 [SE] = 6.021 [2.099]，P = 0.在随访期间，基线 ETDRS 信噪比高（估计值 [SE] = 15.449 [2.352]，p < 0.001）或基线 SE 低（估计值 [SE] = 6.357 [2.406]，p = 0.018）的患者 ETDRS 信噪比改善最大。术前有晶状体或人工晶体脱位的患者比术前有晶状体或人工晶体半脱位的患者术后SE改善幅度更大（脱位 vs. 半脱位：估计值 [SE] = -189.235 [70.692]，p = 0.016）。在 6 个月的随访中，没有发现玻璃体出血、囊样黄斑水肿、眼底炎、半脱位或脱位的病例：我们改良的人工晶体巩膜固定技术是一种简单、安全、高效的方法，它避免了触觉操作和滑动，减少了术后并发症，实现了完全无缝合手术，达到了手术屈光目标。

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

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464