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在Yamane的晶状镜片脱位技术中进行玻璃体管理:前玻璃切除术或PPV?

Yong Tang¹, Shiqi Yao¹, Yanhua Chu¹

¹Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Gansu Road 4, Heping District, Tianjin, 300020, China.

BMC ophthalmology

|November 18, 2023

概括

这项研究发现,在Yamane的前部和侧部平面切除术中,Yamane的前部和侧部平面切除术均有效.

科学领域:

眼科医生眼科眼科
手术技巧手术技巧
眼内透镜植入眼内透镜植入

背景情况:

晶状镜片的脱位带来了复杂的外科手术挑战.
雅曼内眼透镜 (IOL) 固定是用于脱透镜的技术.
选择采用玻璃切除术方法 (前面与侧面) 可能会影响结果.

研究的目的:

为了比较前置玻璃切除术与帕斯普拉纳玻璃切除术的视觉结果和手术并发症,同时与Yamane的晶体镜片脱位的IOL固定进行比较.
评估自发后部玻璃体脱落 (PVD) 和以前未检测到的视网膜孔/退化 (PURH/D) 的发生率.

主要方法:

对53名患者 (56只眼睛) 进行了回顾性干预研究,这些患者患有晶状镜片脱/脱.
患者接受了前视镜切除术 (ANV组) 或帕斯普拉纳视镜切除术 (PPV组),同时进行了Yamane的IOL固定.
测量结果包括术后最佳校正视敏度 (BCVA) 和手术并发症;记录了PVD和PURH/D.

主要成果:

24只眼睛进行了前视镜切除,32只眼睛进行了半平面视镜切除.
PURH/D的总体发病率为10.7%. 自发的PVD发生在68.8%的帕斯普拉纳视切除组中.
两组玻璃切除术组之间没有观察到最终的BCVA或术后并发症 (视网膜脱落,胸腔脱落) 的显著差异.

结论:

前部和半平面玻璃切除术都是Yamane在晶状透镜脱位中的IOL固定的可行技术,产生类似的外科结果.
患者的年龄,PVD状态和PURH等因素可以指导选择玻璃切除术方法.
跨角膜玻璃切除术可能适用于儿科患者;成人PURH的手术内激光视网膜切除术可以减少术后视网膜脱落.

关键词:

晶体镜片的脱位发生在晶体镜片上.眼内透镜是眼内透镜中的一个.后面的玻璃体脱落没有连接的内固定.

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