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Giacomo Visioli^1,2, Giuseppe Maria Albanese^1,3, Silvia Magherini¹

¹Department of Sense Organs - Sapienza University of Rome, Rome, Italy.

Clinical ophthalmology (Auckland, N.Z.)

|March 3, 2026

概括

使用Yamane技术的二次眼内透镜 (IOL) 植入产生了可比的视网膜和功能结果,无论手术前透镜状态如何. 在Yamane技术后视力恢复主要由基线视力敏度预测.

科学领域:

眼科医生眼科眼科
视网膜外科手术视网膜外科手术
眼科植入物眼科植入物

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.
雅曼技术在复杂的病例中提供了可靠的IOL固定方法,包括阿法基亚,IOL脱和脱.
了解手术前透镜状况对结果的影响对于患者选择和手术规划至关重要.

研究的目的:

评估手术前的透镜状态 (阿法基亚,潜的IOL,脱的IOL) 是否会影响Yamane技术的二次IOL植入后的视网膜和功能结果.
为了比较不同手术前透镜状态中囊性黄斑 (CME) 和视网膜膜 (ERM) 形成的发生率.
在手术后评估最佳校正视敏度 (BCVA),主观折射性白 (SRAST) 和内皮细胞密度 (ECD) 的变化.

主要方法:

对59只眼睛进行了回顾性分析,这些眼睛接受了Yamane技术,用于二次IOL植入.
眼睛被分为三个类别:阿法基眼睛,潜眼睛和脱眼睛.
12个月的随访包括光谱域OCT,BCVA,SRAST和ECD测量;使用量子位回归进行分析.

主要成果:

整体CME发病率在3个月后为32.2%,新手术后CME在10.2%的眼睛中,主要是在IOL扩展后.
在8.5%的眼睛中,术后ERM发生.
在所有组中都观察到显著的BCVA改善 (p < 0.001),SRAST稳定 (p = 0.819). 在潜和脱的IOL群体中,ECD下降.
基线BCVA是12个月视力改善的唯一独立预测指标.

结论:

雅曼技术为二次内膜眼镜植入在阿法基眼,潜眼和异位内膜眼中提供了可比的视网膜和功能结果.
虽然CME可以暂时发生,但其发生率有限,并且与之前的IOL问题有关.
手术前视力敏度是Yamane固定后视力恢复的主要决定因素.

关键词:

内腔眼镜的脱位.眼睛的内腔外置 (IOL) 发生.亚马内技术是亚马内技术.在阿法基亚,阿法基亚是阿法基亚囊状斑点水斑点水内皮细胞密度内皮细胞密度皮质膜膜的皮质膜膜.关节的固定关节的固定二次眼内镜片植入植入植入.视觉上的结果.

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