Phacoemulsification Combined With Supra-Capsular and Scleral-Fixated Intraocular Lens Implantation in Microspherophakia: A Retrospective Comparative Study

Frontiers in Medicine

Zhen-Nan Zhao⁴  Wan-Nan Jia⁴  Yong-Xiang Jiang⁴  Jia-Lei Zheng⁴  Yang Sun⁴  Ze-Xu Chen⁴  Tian-Hui Chen⁴  Jia-Hui Chen⁴  Li-Na Lan⁴ 

[1] Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China;Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China;NHC Key Laboratory of Myopia, Fudan University, Shanghai, China;Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China;

关键词: microspherophakia;    capsular bag;    phacoemulsification;    modified capsular tension ring;    Nd:YAG laser capsulotomy;   

DOI  :  10.3389/fmed.2022.869539

来源: DOAJ

【 摘 要 】

BackgroundMicrospherophakia (MSP) is a rare ocular condition, the lens surgery of which is complicated by both insufficient zonules and undersized capsule.MethodsThis study included MSP eyes managed with phacoemulsification combined with supra-capsular and scleral-fixated intraocular lens implantation (SCSF-IOL) and made the comparison with those treated by transscleral-fixated modified capsular tension ring and in-the-bag intraocular lens implantation (MCTR-IOL).ResultsA total of 20 MSP patients underwent SCSF-IOL, and 17 patients received MCTR-IOL. The postoperative best corrected visual acuity was significantly improved in both groups (P < 0.001), but no difference was found between the groups (P = 0.326). The IOL tilt was also comparable (P = 0.216). Prophylactic Nd:YAG laser posterior capsulotomy was performed 1 week to 1 month after the SCSF-IOL procedure. In the SCSF-IOL group, two eyes (10.00%) needed repeated laser treatment and one eye (5.00%) had a decentered capsule opening. Posterior capsule opacification was the most common complication (6, 35.29%) in the MCTR group. No IOL dislocation, secondary glaucoma, or retinal detachment was observed during follow-up.ConclusionsSCSF-IOL is a viable option for managing MSP and is comparable with the MCTR-IOL. Nd:YAG laser posterior capsulotomy was necessary to prevent residual capsule complications after the SCSF-IOL procedure.

【 授权许可】

Unknown