后腔法基眼内镜的调整 - - 原因和并发症:一项回顾性队列研究
Ghufran Alarfaj1, Halah Bin Helayel1,2, Majed AlSubaie1
1Department of Ophthalmology, Dhahran-Eye-Specialist-Hospital, Al Jamiah, Dhahran 34257, Saudi Arabia.
International journal of ophthalmology
|May 19, 2025
概括
植入式结膜透镜 (ICL) 手术是视力校正的安全替代方案,其二次手术率为6.26%. 老年和异常的被确定为ICL重新定位或扩张的危险因素.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 植入式粘合器镜头 (ICLs) 是一种可植入式粘合器镜头.
背景情况:
- 植入式粘合镜 (ICL) 为不适合 LASIK 的患者提供了激光视力校正的可逆替代方案.
- 评估视觉结果和确定二次手术的风险因素对于优化ICL结果至关重要.
研究的目的:
- 为了评估ICL植入的视觉结果.
- 确定与ICL轴不对齐相关的风险因素,导致重新定位,扩展或交换.
主要方法:
- 一个回顾性队列研究包括813只眼睛接受ICL植入.
- 收集的数据包括人口统计数据,折射误差,前腔室指标 (ACD,WTW),ECD,轴长,以及术后结果 (折射,圆顶,轴对齐).
- 在患者数据和对二次手术干预的需求之间进行了相关联.
主要成果:
- 在6.26%的眼睛中需要进行二次手术 (重新定位:3.32%,扩展:1.59%,扩展与交换:1.35%).
- 错误的白色对白色 (WTW) 测量和高是探索/交换的主要原因.
- 年龄较大与重新定位有关,而异常的门和门ICL旋转需要扩展.
结论:
- 在各种折射误差方面,ICL植入证明了高安全性和有效性.
- ICL的可逆性使它们成为不适合角膜折射手术的患者的可行选择.
- 识别诸如老年和异常形等危险因素,可以帮助尽量减少对二次手术干预的需要.
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