Iris retractor-assisted cataract surgery with modified scleral fixation for treating subluxated lenses.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-05-19 DOI:10.1007/s10792-025-03524-3

Tingkun Shi, Meiqing Yang, Yinglin Cheng, Haoyu Chen, Yuqiang Huang

{"title":"Iris retractor-assisted cataract surgery with modified scleral fixation for treating subluxated lenses.","authors":"Tingkun Shi, Meiqing Yang, Yinglin Cheng, Haoyu Chen, Yuqiang Huang","doi":"10.1007/s10792-025-03524-3","DOIUrl":null,"url":null,"abstract":"Objective: To evaluate the efficiency and safety of iris retractor-assisted cataract surgery with modified scleral fixation for treating subluxated lenses.Methods and analysis: We developed a modified technique combining iris retractors with intrascleral intraocular lens (IOL) fixation for the treatment of moderate or severe lens subluxation due to non-progressive or progressive zonular defects. A retrospective case series study was conducted, including patients diagnosed with severe zonular dialysis who underwent this technique. Clinical data were collected and analyzed, including comprehensive ophthalmic examinations, anterior segment optical coherence tomography, surgical procedures, and outcome measures such as visual acuity and IOL positioning.Results: Fourteen eyes from fourteen patients (four females and ten males), with a mean age of 56.36 ± 17.74 years and severe zonular loss, were enrolled in the study. All patients were followed up for a mean of 22.5 ± 15.4 months (range 4-49 months). The mean visual acuity improved significantly after surgery (p < 0.001), and the IOLs were well-centered. Postoperative transient intraocular hypertension was observed in one patient.Conclusion: This modified technique simplifies the surgical procedures for treating severe lens subluxation and reduces postoperative complications.","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"204"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10792-025-03524-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To evaluate the efficiency and safety of iris retractor-assisted cataract surgery with modified scleral fixation for treating subluxated lenses.

Methods and analysis: We developed a modified technique combining iris retractors with intrascleral intraocular lens (IOL) fixation for the treatment of moderate or severe lens subluxation due to non-progressive or progressive zonular defects. A retrospective case series study was conducted, including patients diagnosed with severe zonular dialysis who underwent this technique. Clinical data were collected and analyzed, including comprehensive ophthalmic examinations, anterior segment optical coherence tomography, surgical procedures, and outcome measures such as visual acuity and IOL positioning.

Results: Fourteen eyes from fourteen patients (four females and ten males), with a mean age of 56.36 ± 17.74 years and severe zonular loss, were enrolled in the study. All patients were followed up for a mean of 22.5 ± 15.4 months (range 4-49 months). The mean visual acuity improved significantly after surgery (p < 0.001), and the IOLs were well-centered. Postoperative transient intraocular hypertension was observed in one patient.

Conclusion: This modified technique simplifies the surgical procedures for treating severe lens subluxation and reduces postoperative complications.

查看原文本刊更多论文

改良巩膜固定的虹膜牵开辅助白内障手术治疗晶状体半脱位。

目的：评价虹膜牵开辅助改良巩膜固定术治疗晶状体半脱位的有效性和安全性。方法和分析：我们开发了一种改良技术，结合虹膜牵开器和巩膜内人工晶状体（IOL）固定，用于治疗由非进行性或进行性带状缺损引起的中度或重度晶状体半脱位。我们进行了一项回顾性病例系列研究，包括诊断为严重带状透析的患者，他们接受了这种技术。收集和分析临床资料，包括综合眼科检查、前段光学相干断层扫描、外科手术以及视力和人工晶状体定位等结果测量。结果：纳入14例患者14只眼（女4例，男10例），平均年龄56.36±17.74岁，眼带严重丧失。所有患者平均随访22.5±15.4个月（4 ~ 49个月）。结论：该改良技术简化了治疗严重晶状体半脱位的手术程序，减少了术后并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.