扁平部玻璃体切除联合经巩膜缝线固定后房型人工晶状体移植的长期效果

查看全文 作　　者：Vote B.J.;Tranos P.;Bunce C.;L. Da [1]Cruz;王静波 机构地区：[1]Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, EC1V 2PD, United Kingdom Dr. 出　　处：《世界核心医学期刊文摘(眼科学分册)》索引2006年第2卷第5期,共2页 摘　　要：PURPOSE: To investigate the long-term visual outcome and the complication rate following transscleral suture fixation of posterior chamber intraocular lenses (sutured PC-IOLs). DESIGN: A retrospective case-series descriptive study.METHODS: Records of patients who underwent combined pars plana vitrectomy and sutured PC-IOLs at Moorfields Eye Hospital and who had at least 12 months of follow-up were examined for recorded complications. RESULTS: Sixty-one eyes of 48 patients (33 males and 15 females) were identified and included in the analysis, with mean follow-up of 6 years. The mean final best-corrected visual acuity remained at preoperative levels (P=.211) and was largely determined by the underlying ocular pathology before sutured PC-IOL. Overall 30 of 61 (49%) eyes, two or more procedures were performed to reverse a significant peri-or postoperative complication. Breakage of polypropylene sutures was the main indication accounting for 17 of 30 (57%) of those reoperations. Subgroup analysis showed that younger patients were more likely to suffer the above complication (P=.009). The multivariate analysis also showed that longer follow-up was significantly associated with suture breakage (P=.014), with the mean time to breakage approximately 4 years after surgery. CONCLUSIONS: Long-term follow-up of patients undergoing sutured PC-IOLs appears to be associated with a high rate of postoperative complications and significant need for further surgery,which should be discussed during their informed consent process. 关 键 词：巩膜缝线固定 晶状体移植 玻璃体切除 后房型 扁平部 长期效果 人工 联合 并发症发生率 IOLs