前部部位外科医生与视网膜外科医生对修改的Yamane技术的看法:前部或整体玻璃切除术?
Fahri Onur Aydin1, Emrullah Şimşek1, Burakhan Kürşat Aksoy1
1Department of Ophthalmology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
European journal of ophthalmology
|January 27, 2026
概括
前视镜切除术 (AnV) 和侧视镜切除术 (PPV) 对于修改的Yamane内固定提供了相似的结果. AnV显示出更好的视觉敏度和内皮细胞保存,这表明了潜在的优势.
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:
- 二次眼内透镜 (IOL) 植入对于白内障手术并发症后视力康复至关重要.
- 修改的Yamane内固定是一种用于固定二级IOL的常见技术.
- 在前面玻璃切除术 (AnV) 和侧面玻璃切除术 (PPV) 之间做出选择可能会影响结果.
研究的目的:
- 为了比较 AnV 与 PPV 的临床和折射结果,在经过修改 Yamane 内固化的患者中.
- 为了评估视力敏度,折射稳定性,IOL倾斜,内皮细胞数和并发症.
主要方法:
- 74只眼睛进行了修改的Yamane内固定的回顾性比较研究.
- 患者被划分为 AnV 组 (n=45) 进行潜的 IOL 和 PPV 组 (n=29) 进行核滴落/IOL 脱.
- 评估未纠正的 (UDVA) 和纠正的距离视敏度 (CDVA),折射稳定性,内腔镜倾斜,内皮细胞计数 (ECC),纹症和并发症.
主要成果:
- 抗病毒组的术后UDVA和CDVA显著增加 (p < 0.001).
- 安维组较低的角膜形 (-1.00 D 与-1.75 D 相比,p < 0.001) 和更好的ECC保存 (1784 与 1234 细胞/mm2,p < 0.001).
- 眼镜的倾斜,折射稳定性,透镜性白症和并发症的发生率在各组之间相似.
结论:
- AnV和PPV都在修改的Yamane固定中提供了可比的折射和IOL定位.
- AnV提供了优势,包括卓越的视力敏度,更好的内皮细胞保存和减少角膜形.
- 在需要二次IOL植入的特定场景中,AnV可能是首选的方法.
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