经巩膜固定人工晶体矫正无晶体眼的改良技术
A modified technique of scleral fixated intraocular lenses for aphakic correction作者机构：Dept. of Ophthalmology/Visual Sci. The Chinese University of Hong Kong Prince ofWales Hospital Shatin N.T. Hong Kong China
出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)
年 卷 期：2005年第1卷第6期
页 面：32-33页
学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
主 题：无晶体眼 人工晶体 改良技术 改良术式 睫状体平坦部 前部玻璃体 视觉科学 水平位 切除术 技术联合
摘 要：Purpose. To examine the safety and efficacy of a modified scleral fixated intraocular lens (SFIOL) technique combining a scleral tunnel for intraocular lens (IOL) insertion, horizontal passage of sutures, and performing anterior vitrectomy through self-sealing pars plana sclerostomies. Methods. Retrospective reviewof all patients who underwent SFIOL for aphakic correction at the Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong (a tertiary referral centre) between October 2000 and December 2001 with either the modified or conventional techniques. Results. A total of 20 eyes were identified. Eight modified (Group 1) and 12 conventional (Group 2) with a mean follow-up of 18.3 months. Postoperatively, all the eyes improved on unaided preoperative acuity and they all had a stable and well-positioned IOL. In all, 85% (7/8) of eyes in Group 1 maintained or improved best-corrected visual acuity. Conclusions. The modified SFIOL technique was found to be as safe and effective as conventional techniques. The main advantages of this technique include easy intraoperative suture management and superior globe maintenance.
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