巩膜缝合后房型人工晶状体的巩膜晶状体和缝线糜烂。

IF 2.1 4区医学 Q2 OPHTHALMOLOGY

Eye & Contact Lens-Science and Clinical Practice Pub Date : 2025-09-05 DOI:10.1097/ICL.0000000000001221

Hannah P Ngo, Odette M Houghton, Dharmendra R Patel, Eric R Kawulok, Joanne F Shen

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引用次数: 0

摘要

摘要：本病例系列报告了2例巩膜晶状体（SL）相关缝线糜烂的聚四氟乙烯CV-8 （Gore-Tex, Newark， DE）巩膜缝合的CZ70BD （Alcon, Fort Worth， TX）后房型人工晶状体（SS-PCIOL）。据报道，在两名使用SL改善视力的患者中，SS-PCIOL后出现了缝合线糜烂。两例患者均通过缝线复位和角膜贴片移植矫正角膜糜烂，其中一例患者需要更换人工晶状体。另一名患者能够过渡到不同大小参数的SL。巩膜晶状体配合术应考虑与缝合线位置相关的触觉位置，并监测术后缝合线糜烂情况。术前巩膜变薄的患者可能需要巩膜瓣或角膜组织贴片移植。

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Scleral Lens and Suture Erosion in Scleral-Sutured Posterior Chamber Intraocular Lens.

Abstract: This case series reports two cases of scleral lens (SL)-associated suture erosion of polytetrafluoroethylene CV-8 (Gore-Tex, Newark, DE) in scleral-sutured CZ70BD (Alcon, Fort Worth, TX) posterior chamber intraocular lens (SS-PCIOL). Suture erosion after SS-PCIOL has been reported in two of the patients who were fitted with SL for visual acuity improvement. Erosion was corrected in both cases with suture repositioning and corneal patch graft, with one patient requiring the exchange of the intraocular lens. The other patient was able to transition to an SL of a different size parameter. Scleral lens fitting should consider the position of haptic placement in relation to the suture site and be monitored for suture erosion postoperatively. A scleral flap or corneal tissue patch graft may be needed for patients who have scleral thinning from prior surgery.

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来源期刊

Eye & Contact Lens-Science and Clinical Practice OPHTHALMOLOGY-

CiteScore

4.50

自引率

4.30%

发文量

150

审稿时长

6-12 weeks

期刊介绍： Eye & Contact Lens: Science and Clinical Practice is the official journal of the Contact Lens Association of Ophthalmologists (CLAO), an international educational association for anterior segment research and clinical practice of interest to ophthalmologists, optometrists, and other vision care providers and researchers. Focusing especially on contact lenses, it also covers dry eye disease, MGD, infections, toxicity of drops and contact lens care solutions, topography, cornea surgery and post-operative care, optics, refractive surgery and corneal stability (eg, UV cross-linking). Peer-reviewed and published six times annually, it is a highly respected scientific journal in its field.