1,490 只眼睛的后房型法康眼内透镜爆裂原因。

IF 2.9 3区 医学 Q1 OPHTHALMOLOGY
Efekan Coskunseven, Belma Kayhan
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引用次数: 0

摘要

目的:调查摘除和/或更换后房型人工晶体(PCPIOL)的原因以及这些手术的结果:在这项回顾性研究中,研究人员回顾了 2015 年 1 月至 2023 年 6 月期间在一个中心进行的 PCPIOL 植入手术。研究组包括摘除和/或交换 PCPIOL 的眼球档案。记录了更换前后的视力、屈光误差、内皮细胞计数和穹隆测量结果。对摘除和/或更换的原因进行了评估。所有摘除手术均采用掖拉技术:结果:在 1490 只植入 PCPIOL 的眼睛中,有 23 只需要摘除和/或更换。在取出的眼球中,17 只植入了用于近视矫正的 PCPIOL(占所有近视矫正眼球的 1.21%),6 只植入了用于远视矫正的 PCPIOL(占所有远视矫正眼球的 6.59%)。植入后最常见的摘除和/或更换原因是穹窿不合适(23 例摘除和/或更换中的 10 例),其次是白内障发展(23 例摘除和/或更换中的 7 例)。将因穹窿不合适而摘除和/或更换 PCPIOL 的眼球与其他植入 PCPIOL 的眼球的生物测量特征进行比较后发现,前房深度、PCPIOL 长度和白内障到白内障的距离在被摘除眼球组中明显更高(P < .05)。所有近视患者的高穹隆眼都植入了 13.2 或 13.7 毫米长的 PCPIOL:结论:摘除和/或更换 PCPIOL 的主要原因是穹窿值超出理想范围和白内障发展。在订购 13.2 毫米和 13.7 毫米长的 PCPIOL 之前,应仔细审查双眼的生物测量数据和推荐的 PCPIOL 尺寸。[J Refract Surg. 2024;40(11):e797-e803]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reasons for Explantations of Posterior Chamber Phakic Intraocular Lenses in 1,490 Eyes.

Purpose: To investigate the reasons for the removal and/or exchange of posterior chamber phakic intraocular lenses (PCPIOLs) and the outcomes of these procedures.

Methods: In this retrospective study, PCPIOL implantations performed between January 2015 and June 2023 in a single center were reviewed. The study group consisted of the files of eyes with removed and/or exchanged PCPIOL. Visual acuities, refraction errors, endothelial cell counts, and measurements of the vault before and after exchanges were recorded. Reasons for removal and/or exchange were evaluated. The tuck-and-pull technique was used in all explantations.

Results: Twenty-three of 1,490 eyes with PCPIOL implantation required removal and/or exchange. Of the explanted eyes, 17 were implanted with PCPIOLs for myopia (1.21% of all myopic corrections) and 6 were implanted with PCPIOLs for hyperopia (6.59% of all hyperopic corrections). The most common reason for removal and/or exchanges after implantation was inappropriate vault (10 of the 23 total removals and/or exchanges), followed by cataract development (7 of the 23 total removals and/or exchanges). A comparison of the biometric characteristics of eyes with PCPIOL removal and/or exchange due to inappropriate vault with other PCPIOL implantations showed that anterior chamber depth, PCPIOL length, and white-to-white distance were significantly higher in the group of explanted eyes (P < .05). All eyes with high vault in myopic patients had a 13.2- or 13.7-mm length PCPIOL.

Conclusions: The main reason for PCPIOL removal and/or exchange is vault values outside the ideal limits and cataract development. Before ordering 13.2- and 13.7-mm long PCPIOLs, biometric data of both eyes and recommended PCPIOL sizes should be carefully reviewed. [J Refract Surg. 2024;40(11):e797-e803.].

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来源期刊
CiteScore
5.10
自引率
12.50%
发文量
160
审稿时长
4-8 weeks
期刊介绍: The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.
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