人工晶状体植入术中三个预加载注射器与一个手动注射器的比较分析

Q4 Medicine

Oftalmologiya Pub Date : 2023-09-30 DOI:10.18008/1816-5095-2023-3-431-436

K. B. Pershin, N. F. Pashinova, A. Yu. Tsygankov, I. V. Kosova, O. S. Saidalieva

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引用次数: 0

摘要

目的:评价3个预载注射器和1个手动注射器不同型号人工晶体的切口宽度和植入术时间。患者和方法。前瞻性研究纳入146例患者(160只眼)，其中女性94例，男性52例。I组:Isert®(28例，32只眼);II组:Multisert®(27例，30只眼);III组- Autonome®(45例，50只眼)和IV组- Monarch®(46例，48只眼)。患者平均年龄71.8±11.7岁，随访期- 3.0±0.2个月。结果。差异无统计学意义(p >对比人工晶状体植入术前切口宽度，两组间差异为0.05)。晶状体植入术后，I组切口宽度显著高于II组(p = 0.04)、III组(p = 0.037)和IV组(p = 0.029)。II、III、IV组人工晶体植入术后切口宽度差异无统计学意义(p >0.05)。I组角膜切口宽度平均增加0.6 mm, II、III、IV组角膜切口宽度平均增加0.2 ~ 0.3 mm。II、III、IV组手术性散光值分别低于I组(0.47±0.06 D、0.41±0.06 D、0.44±0.07 D)和I组(1.12±0.17 D);p & lt;各组均为0.05)。II、III、IV组间无显著差异。II、III组植入时间最短，I、IV组植入时间最长，平均差异约为30秒。与平均人工晶体植入术时间比较，差异无统计学意义(p >0.05)。结论。本文首次在全球范围内对Isert®、Multisert®、Autonome®和Monarch®四种IOL植入系统进行了比较分析。新的Multisert®人工晶状体植入术系统在角膜切口宽度、手术引起的散光大小和人工晶状体植入术所需时间方面与已知的单焦点人工晶状体注射器具有相似的优势。人工晶状体植入术时间与人工晶状体植入术类型(粘稠型或水力型)和注射器类型无关。

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Comparative Analysis of Three Preloaded and One Manual Injector for Intraocular Lens Implantation

Purpose : to evaluate the incision width and implantation time of different IOL models using three preloaded and one manual injector. Patients and methods . 146 patients (160 eyes) including 94 females and 52 males were included in a prospective study. Group I — Isert® (28 patients, 32 eyes); Group II — Multisert® (27 patients, 30 eyes); Group III — Autonome® (45 patients, 50 eyes) and Group IV — Monarch® (46 patients, 48 eyes). mean age of patients was 71.8 ± 11.7 years, follow-up period — 3.0 ± 0.2 months. Results . There were no significant differences (p > 0.05) between the groups when comparing the incision width before IOL implantation. After lens implantation, the incision width in group I was significantly higher than in groups II (p = 0.04), III (p = 0.037) and IV (p = 0.029). There were no significant differences in incision width after IOL implantation between groups II, III, and IV (p > 0.05). The average increase in corneal incision width in group I was 0.6 mm, and for groups II, III, and IV it ranged from 0.2 to 0.3 mm. Groups II, III, and IV showed lower values of surgically induced astigmatism compared with group I (0.47 ± 0.06 D, 0.41 ± 0.06 D, and 0.44 ± 0.07 D compared with 1.12 ± 0.17 D, respectively; p < 0.05 for all groups). No significant differences were found between groups II, III, and IV. Minimum implantation time was observed for groups II and III, maximum for groups I and IV, with a mean difference of about 30 seconds. Differences when comparing the mean IOL implantation time were not statistically significant (p > 0.05). Conclusion . This paper presents the first worldwide comparative analysis of four IOL implantation systems, including Isert®, Multisert®, Autonome®, and Monarch®. The new Multisert® IOL implantation system has similar advantages to the known monofocal IOL injectors with respect to corneal incision width, surgically induced astigmatism magnitude, and time required for IOL implantation. IOL implantation time did not depend on the type of implantation (hydro- or viscous) and the type of injector.

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来源期刊

Oftalmologiya Medicine-Ophthalmology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： The scientific journal Oftalmologiya is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Ophthalmology, Физиология, Клиническая медицина, Профилактическая медицина, Медико-биологические науки, Фармацевтические науки. Before sending a scientific article, we recommend you to read the section For authors. This will allow you to prepare an article better for publication, to make it more interesting for the readers and useful for the scientific community. By following these steps, you will greatly increase the likelihood of your scientific article publishing in journals included in international citation systems (e.g., Scopus). Then you may choose a different journal, select the journal included to list of SAC Russia journal list, or send your scientific work for review and publication.