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