人工晶状体巩膜固定术的手术进展
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摘要
外伤或先天性疾病导致的晶状体脱位以及白内障手术后囊破裂较大等无法常规植入人工晶状体的患者,可根据病情选择不同的术式植入人工晶状体。本文将介绍多种后房型人工晶状体巩膜固定术的手术方法,包括人工晶状体巩膜缝线固定术、无缝合巩膜层间人工晶状体襻固定术、生物胶人工晶状体襻巩膜固定术。此外还将对以上术式的术后效果及并发症进行综述。
?Patients with traumatic or congenital disease lead to lens dislocation and posterior capsule rupture after cataract surgery, etc, which cannot be routinely implanted with intraocular lens, can be implanted with different intraocular lenses according to the condition. This article will introduce a variety of surgical methods for posterior chamber intraocular lens scleral fixation, including sutured scleral fixation, sutureless intrascleral fixation and Fibrin glue-assisted sutureless haptic intrascleral fixation. In addition, the postoperative results and complications of the above procedures will be reported and analyzed.
?Patients with traumatic or congenital disease lead to lens dislocation and posterior capsule rupture after cataract surgery, etc, which cannot be routinely implanted with intraocular lens, can be implanted with different intraocular lenses according to the condition. This article will introduce a variety of surgical methods for posterior chamber intraocular lens scleral fixation, including sutured scleral fixation, sutureless intrascleral fixation and Fibrin glue-assisted sutureless haptic intrascleral fixation. In addition, the postoperative results and complications of the above procedures will be reported and analyzed.
引文
1 Holt DG,Young J,Stagg B,et al.Anterior chamber intraocular lens,sutured posterior chamber intraocular lens,or glued intraocular lens:where do we stand?Curr Opin Ophthalmol 2012;23(1):62-67
2 Judge DP,Dietz HC.Marfan’s syndrome.Lancet 2005;366(9501):1965-1976
3 Lewis JS.Sulcus fixation without flaps.Ophthalmology 1993;100(9):1346-1350
4 Lin CP,Tseng HY.Suture fixation technique for posterior chamber intraocular lenses.J Cataract Refract Surg 2004;30(7):1401-1404
5 Szurman P,Petermeier K,Aisenbrey S,et al.Zsuture:a new knotless technique for transscleral suture fixation of intraocular implants.Br J Ophthalmol 2010;94(2):167-169
6 Hoffman RS,Fine H,Packer M.Scleral fixation without conjunctival dissection.J Cataract Refract Surg 2006;32(11):1907-1912
7 Choi JY,Han YK.In-and-out technique for intraocular lens scleral fixation.Clin Ophthalmol 2018;12:1279-1284
8 Vote BJ,Tranos P,Bunce C,et al.Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation.Am J Ophthalmol 2006;141(2):308-312
9 Khan MA,Gupta OP,Smith RG,et al.Scleral fixation of intraocular lenses using Gore-Tex suture:clinical outcomes and safety profile.Br J Ophthalmol 2016;100(5):638-643
10 Hannush SB.Sutured posterior chamber intraocular lenses:indications and procedure.Curr Opin Ophthalmol 2000;11(4):233-240
11 Kokame GT,Yanagihara RT,Shantha JG ,et al.Long-term Outcome of Pars Plana Vitrectomy and Sutured Scleral-Fixated Posterior Chamber Intraocular Lens Implantation or Repositioning.Am J Ophthalmol 2018;189:10-16
12 Scharioth GB,Gabor MD,Mitrofanis M,et al.Sutureless intrascleral posterior chamber intraocular lens fixation.J Cataract Refract Surg 2007;33(11):1851-1854
13 Prenner JL,Feiner L,Wheatley HM,et al.A novel approach for posterior chamber intraocular lens placement or rescue via a sutureless scleral fixation technique.Retina 2012;32(4):853-855
14 Yamane S,Sato S,Maruyama-Inoue M,et al.Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique.Ophthalmology 2017;124(8):1136-1142
15 Todorich B,Stem MS,Kooragayala K,et al.Structural analysis and comprehensive surgical outcomes of the sutureless intrascleral fixation of secondary intraocular lens in human eyes.Retina 2018;38 (Suppl 1):S31-S40
16 Agarwal A,Kumar DA,Jacob S,et al.Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules.J Cataract Refract Surg 2008;34(9):1433-1438
17 Agarwal A,Jacob S,Kumar DA,et al.Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens.J Cataract Refract Surg 2013;39(3):317-322
18 Ladi JS,Shah NA.Vertical fixation with fibrin glue-assisted secondary posterior chamber intraocular lens implantation in a case of surgical aphakia.Indian J Ophthalmol 2013;61(3):126-129
19 Narang P,Narang S.Glue-assisted intrascleral fixation of posterior chamber intraocular lens.Indian J Ophthalmol 2013;61(4):163-167
20 Mohan S,John B,Rajan M,et al.Glued intraocular lens implantation for eyes with inadequate capsular support:Analysis of the postoperative visual outcome.Indian J Ophthalmol 2017;65(6):472-476
21 McKee Y,Price FW Jr,Feng MT,et al.Implementation of the posterior chamber intraocular lens intrascleral haptic fixation technique (glued intraocular lens) in a United States practice:Outcomes and insights.J Cataract Refract Surg 2014;40(12):2099-2105
22 Kumar DA,Agarwal A,Packialakshmi S,et al.In vivo analysis of glued intraocular lens position with ultrasound biomicroscopy.J Cataract Refract Surg 2013;39(7):1017-1022
23 Kumar DA,Agarwal A,Packiyalakshmi S,et al.Complications and visual outcomes after glued foldable intraocular lens implantation in eyes with inadequate capsules.J Cataract Refract Surg 2013;39(8):1211-1218
24 May DR,Kuhn FP,Morris RE,et al.The epidemiology of serious eye injuries from the United States Eye Injury Registry.Graefes Arch Clin Exp Ophthalmol 2000;238(2):153-157
25 Karadag R,Esmer O,Totan Y.A novel approach for posterior chamber intraocular lens placement or rescue via a sutureless scleral fixation technique.Retina 2013;33(2):456
2 Judge DP,Dietz HC.Marfan’s syndrome.Lancet 2005;366(9501):1965-1976
3 Lewis JS.Sulcus fixation without flaps.Ophthalmology 1993;100(9):1346-1350
4 Lin CP,Tseng HY.Suture fixation technique for posterior chamber intraocular lenses.J Cataract Refract Surg 2004;30(7):1401-1404
5 Szurman P,Petermeier K,Aisenbrey S,et al.Zsuture:a new knotless technique for transscleral suture fixation of intraocular implants.Br J Ophthalmol 2010;94(2):167-169
6 Hoffman RS,Fine H,Packer M.Scleral fixation without conjunctival dissection.J Cataract Refract Surg 2006;32(11):1907-1912
7 Choi JY,Han YK.In-and-out technique for intraocular lens scleral fixation.Clin Ophthalmol 2018;12:1279-1284
8 Vote BJ,Tranos P,Bunce C,et al.Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantation.Am J Ophthalmol 2006;141(2):308-312
9 Khan MA,Gupta OP,Smith RG,et al.Scleral fixation of intraocular lenses using Gore-Tex suture:clinical outcomes and safety profile.Br J Ophthalmol 2016;100(5):638-643
10 Hannush SB.Sutured posterior chamber intraocular lenses:indications and procedure.Curr Opin Ophthalmol 2000;11(4):233-240
11 Kokame GT,Yanagihara RT,Shantha JG ,et al.Long-term Outcome of Pars Plana Vitrectomy and Sutured Scleral-Fixated Posterior Chamber Intraocular Lens Implantation or Repositioning.Am J Ophthalmol 2018;189:10-16
12 Scharioth GB,Gabor MD,Mitrofanis M,et al.Sutureless intrascleral posterior chamber intraocular lens fixation.J Cataract Refract Surg 2007;33(11):1851-1854
13 Prenner JL,Feiner L,Wheatley HM,et al.A novel approach for posterior chamber intraocular lens placement or rescue via a sutureless scleral fixation technique.Retina 2012;32(4):853-855
14 Yamane S,Sato S,Maruyama-Inoue M,et al.Flanged Intrascleral Intraocular Lens Fixation with Double-Needle Technique.Ophthalmology 2017;124(8):1136-1142
15 Todorich B,Stem MS,Kooragayala K,et al.Structural analysis and comprehensive surgical outcomes of the sutureless intrascleral fixation of secondary intraocular lens in human eyes.Retina 2018;38 (Suppl 1):S31-S40
16 Agarwal A,Kumar DA,Jacob S,et al.Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules.J Cataract Refract Surg 2008;34(9):1433-1438
17 Agarwal A,Jacob S,Kumar DA,et al.Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens.J Cataract Refract Surg 2013;39(3):317-322
18 Ladi JS,Shah NA.Vertical fixation with fibrin glue-assisted secondary posterior chamber intraocular lens implantation in a case of surgical aphakia.Indian J Ophthalmol 2013;61(3):126-129
19 Narang P,Narang S.Glue-assisted intrascleral fixation of posterior chamber intraocular lens.Indian J Ophthalmol 2013;61(4):163-167
20 Mohan S,John B,Rajan M,et al.Glued intraocular lens implantation for eyes with inadequate capsular support:Analysis of the postoperative visual outcome.Indian J Ophthalmol 2017;65(6):472-476
21 McKee Y,Price FW Jr,Feng MT,et al.Implementation of the posterior chamber intraocular lens intrascleral haptic fixation technique (glued intraocular lens) in a United States practice:Outcomes and insights.J Cataract Refract Surg 2014;40(12):2099-2105
22 Kumar DA,Agarwal A,Packialakshmi S,et al.In vivo analysis of glued intraocular lens position with ultrasound biomicroscopy.J Cataract Refract Surg 2013;39(7):1017-1022
23 Kumar DA,Agarwal A,Packiyalakshmi S,et al.Complications and visual outcomes after glued foldable intraocular lens implantation in eyes with inadequate capsules.J Cataract Refract Surg 2013;39(8):1211-1218
24 May DR,Kuhn FP,Morris RE,et al.The epidemiology of serious eye injuries from the United States Eye Injury Registry.Graefes Arch Clin Exp Ophthalmol 2000;238(2):153-157
25 Karadag R,Esmer O,Totan Y.A novel approach for posterior chamber intraocular lens placement or rescue via a sutureless scleral fixation technique.Retina 2013;33(2):456