眼内透镜放置和固定方法中的术后并发症率,因囊袋支不足:综述和元分析
Piotr Kanclerz1, Szymon Adam Radomski, Idan Hecht
1From the Department of Ophthalmology, Hygeia Clinic, Gdańsk, Poland (Kanclerz, Radomski); Helsinki Retina Research Group, University of Helsinki, Finland (Kanclerz, Hecht, Tuuminen); Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel (Hecht); Department of Ophthalmology, Shamir Medical Center, Tel Aviv, Israel (Hecht); Eye Centre, Kymenlaakso Central Hospital, Kotka, Finland (Tuuminen).
Journal of cataract and refractive surgery
|October 17, 2024
概括
眼内透镜 (IOLs) 的虹膜固定显示出与眼睛前腔或膜固定相比没有足够的囊支的并发症率低得多. 谨慎的技术选择对于管理这些具有挑战性的案例至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 临床结果研究研究
背景情况:
- 囊袋支不足在眼内透镜 (IOL) 植入过程中带来了重大挑战.
- 为了应对这些挑战,存在各种手术技术,每个都有潜在的并发症.
研究的目的:
- 为了比较不同眼内透镜 (IOL) 放置方法的并发症率,在没有足够的囊袋支的成年人中.
- 评估前腔室,虹膜固定和膜固定技术的安全性和有效性.
主要方法:
- 对15项涉及1247只眼睛的研究进行了元分析.
- 手术方法被分为前腔 (AC) 放置,虹膜固定 (虹膜爪或接) 和膜固定 (接或无接).
- 包括比较至少两种不同的安置方法的研究.
主要成果:
- 与AC安置 (7.4%) 和膜固定 (7.4%) 相比,虹膜固定 (4.4%) 的整体并发症率没有显著下降.
- 过渡性角膜瘤在AC放置时最常见 (29.9%).
- 在膜固定后,玻璃体出血和IOL分散/脱位比其他方法更频繁 (分别为8.5%和8.9%).
结论:
- 虹膜固定可能为IOL安置提供有利的并发症概况,在囊支不足的情况下.
- 在前腔,虹膜固定和膜固定技术之间,手术风险有很大差异.
- 术前咨询和术后规划应考虑与所选择的IOL安置方法相关的特定风险.
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