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

Frontiers in Medicine

article

Ze-Xu Chen¹  Zhen-Nan Zhao¹  Yang Sun¹  Wan-Nan Jia¹  Jia-Lei Zheng¹  Jia-Hui Chen¹  Tian-Hui Chen¹  Li-Na Lan¹  Yong-Xiang Jiang¹ 

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

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

DOI  :  10.3389/fmed.2022.869539

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Microspherophakia (MSP) is a rare ocular condition, the lens surgery of which is complicated by both insufficient zonules and undersized capsule. Methods This 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). Results A 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. Conclusions SCSF-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】

CC BY