两种用于二次眼内透镜植入的无缝线巩膜内固定技术的临床经验。

IF 2.1 4区医学 Q2 OPHTHALMOLOGY

Ophthalmologica Pub Date : 2024-01-01 Epub Date: 2023-08-30 DOI:10.1159/000532065

Kai Januschowski, Annekatrin Rickmann, Karl T Boden, Gregor V Ehrlich-Treuenstätt, Philip Wakili, Lukas Bisorca-Gassendorf

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引用次数: 0

摘要

简介：本研究旨在评估改良卡氏人工晶体（IOL）固定技术的效果，该技术使用两种不同的玻璃体切割孔（23号与27号）作为锚定固定：对282只眼睛（282名患者）进行了回顾性、连续性研究，这些患者使用Carlevale人工晶体（意大利Soleko人工晶体部门）进行了二次人工晶体植入术，使用23号或27号（G）玻璃体切割口进行巩膜内植入，并使用了两种锚定触点：结果：术后一过性眼压过低（眼压≤5 mm Hg）在 27 G 组中较少（13 例患者对 4 例患者，P = 0.057），有 3 例患者需要进行额外的隧道缝合（23 G 组 2 例；27 G 组 1 例）。23-G 组术后玻璃体出血的记录较多（8 例对 1 例，p = 0.034），但两组的所有病例都在没有干预的情况下得到了缓解。两组患者术后视力均有所提高。随访中未观察到视网膜脱离、眼底炎和人工晶体脱位倾斜等术后并发症：结论：27-G 改良无缝线巩膜内植入技术简单有效，术后出血较少。

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Clinical Experience of Two Sutureless Intrascleral Fixation Techniques for Secondary Intraocular Lens Implantation.

Introduction: The aim of this study was to evaluate the outcome of the modified Carlevale intraocular lens (IOL) fixation technique, using two different vitrectomy ports (23- vs. 27-gauge) as anchor fixation.

Methods: Retrospective, consecutive study of 282 eyes (282 patients) who underwent a secondary IOL implantation using the Carlevale IOL (Soleko IOL Division, Italy) with two anchor haptics for intrascleral implantation with either 23- or 27-gauge (G) port.

Results: Transient post-operative ocular hypotonia (intraocular pressure ≤5 mm Hg) was observed less in the 27-G group (13 vs. 4 patients, p = 0.057) three requiring additional tunnel sutures (2 cases for 23-G; 1 case 27-G). Post-operative vitreous haemorrhage was recorded more often in the 23-G group (8 vs. 1 patient, p = 0.034), but all cases in both groups resolved without intervention. Visual acuity did improve post-operatively in the two groups. No post-operative complications such as retinal detachment, endophthalmitis, and IOL-dislocation tilt were observed in the follow-up.

Conclusion: The 27-G modified technique for sutureless intrascleral implantation is simple and effective and causes less post-operative hypotony.

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来源期刊

Ophthalmologica 医学-眼科学

CiteScore

5.10

自引率

3.80%

发文量

审稿时长

3 months

期刊介绍： Published since 1899, ''Ophthalmologica'' has become a frequently cited guide to international work in clinical and experimental ophthalmology. It contains a selection of patient-oriented contributions covering the etiology of eye diseases, diagnostic techniques, and advances in medical and surgical treatment. Straightforward, factual reporting provides both interesting and useful reading. In addition to original papers, ''Ophthalmologica'' features regularly timely reviews in an effort to keep the reader well informed and updated. The large international circulation of this journal reflects its importance.