| Autor: |
Hasan, Mohammad Elsayed, Farag, Adel Abdel Razik, Shawky, Medhat Mohamed, Ibrahim, Basem Mohamed, Elsayed, Tamer Gamal |
| Předmět: |
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| Zdroj: |
Zagazig University Medical Journal; May2023, Vol. 29 Issue 3, p871-879, 9p |
| Abstrakt: |
Background: Intraocular lens (IOL) implantation in the absence of capsular support represents a surgical challenge. Several techniques have been used for IOL implantation in aphakic eyes without adequate capsular support. The aim of this study was to compare the efficiency and visual results of the Yamane technique with the glued IOL technique in the correction of aphakia without adequate capsular support in Zagazig University Hospitals. Methods: Forty-eight aphakic eyes of 48 patients without adequate capsular support were included in this study. All eyes were planned to be corrected with posterior chamber foldable IOL implantation using either the Yamane flanged scleral fixated IOL technique (Group A) or the glued scleral fixated IOL technique (Group B), and 24 aphakic eyes were enrolled randomly in each group. Pre-operative, intra-operative, and post-operative data, including uncorrected and best corrected visual acuity, intraocular pressure, and endothelial cell count, were recorded. Surgical time, intra-operative difficulties, and post-operative complications were recorded. Patients were monitored for at least six months. Results: Forty-eight aphakic eyes without adequate capsular support following complicated phacoemulsification were enrolled randomly in two groups (A and B). In all cases, three-piece foldable hydrophobic IOLs were used. There is a clear statistically significant difference between pre- and post-UCVA (p< 0.001) in both groups. Complications included captured IOL in one case in group A, IOL decentration in 2 cases in group A and 3 cases in group B, and significant IOL tilt due to haptic slippage in one case in group A. Ther e was no significant difference in endothelial cell count and IOP before surgery and after 6 months in both groups. Apart from the shorter surgical time in group A, there was no clinically significant difference between the two groups. Conclusion: Flanged intrascleral fixation of three-piece IOLs (Yamane technique) and glued scleral fixated IOLs are both safe and efficient methods for correction of aphakia. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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