47 IOL Phaco+CTR+IOL IOL PPV+IOL 2003 8 2008 12 82 146 120 Phaco+CTR+IOL 40 72 3~23, 3 ~26 120 PPV+IOL 42 74 4~27, 1 ~38 LogMAR IOL IOL Phaco+CTR+IOL 0.42±0.20 34 59 81.9% IOL 3 8 13 18.1% CTR 12 12 20.3% PPV+IOL 0.38±0.23 22 27 36.5% IOL 5 IOL 2 1 P>0.50 Phaco+CTR+ IOL PPV+IOL P=0.02 Phaco+CTR+IOL CTR P=0.98 PPV+IOL CTR P=0.02 Phaco+CTR+IOL PPV+IOL Phaco+CTR+IOL CTR-IOL PPV+IOL IOL 2015 24 47-50, 55 IOL Outcome of two IOL implantation options for congenital subluxation of the lens: CTR with IOL vs. PPL with sclera-sutured IOL ZHOU Jun, PANG Xiu-qin, LIU Yi, SONG Xu-dong, WANG Shao-li, HE Lei. Beijing Tongren Eye Center, Bejing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing, 100730, China Corresponding author: PANG Xiu-qin, Email: pang_xq@126.com Abstract Objective To evaluate the outcome of two surgical approaches, phacoemulsification combined with capsular tension ring(ctr) and intraocular lens (IOL) implantation vs. pars plana lensectomy/ vitrectomy (PPV) combined with sclera-sutured IOL implantation for congenital subluxation of the lens. Design Retrospective cases series. Participants 82 cases (146 eyes) of congenital subluxation of the lens in Beijing Tongren Hospital from 2003 to 2008. Methods All cases were divided into two groups. Group 1, phacoemulsification combined with CTR and IOL implantation (Phaco+CTR+IOL) were performed in 40 cases (72 eyes) which range of lens dislocation was less than 120 degree and followed up from 3 weeks to 26 months. Group 2, pars plana lensectomy/vitrectomy combined with sclera-sutured IOL implantation (PPV+ IOL) were performed in 42 cases (74 eyes) which range of lens dislocation were 120 degree or more and followed up from 1 week to 38 months. Postoperative best corrected LogMAR visual acuity (BCVA), and IOL location, IOP were recorded. Main Outcome Measures Postoperative BCVA, IOP, IOL location and complications. Results In Phaco + CTR+IOL group, 34 patients (59 eyes, 81.9%) identified with CTR-IOL complex dislocation which underwent repositioning surgery. The median interval from CTR implantation to its dislocation was 3 months. The rate of low IOP after Phaco+CTR+IOL surgery was 18.1%, and the rate of low IOP after repositioning of CTR-IOL complex was 20.34%. In PPV+IOL group, the postoperative BCVA was (0.42±0.20), the rate of low IOP after surgery was 36.5%. IOL capture of pupil was noted in 4 cases (5 eyes), leakage of scleral incision in 2 cases (2 eyes), and temporary choroidal detachment in 1 case (1 eye). Postoperative BCVA between the two groups showed no significant difference (P>0.50). The rate of postoperative low IOP between the two groups showed no significant difference. Conclusions Op- DOI 10.13281/j.cnki.issn.1004-4469.2015.01.013 100730 Email pang_xq@126.com
48 2015 24 1 Ophthalmol CHN 2015 Vol. 24 No.1 timal visual outcomes can be achieved by Phaco+CTR+IOL or PPV+IOL in congenital subluxation of the lens. PPV+IOL procedure may reduce IOL dislocation complication, otherwise increase the opportunity of postoperative ocular hypotension over Phaco+ CTR+IOL technique. (Ophthalmol CHN, 2015, 24: 47-50, 55) Key words congenital subluxation of the lens; capsular tension ring; scleral-suture fixation; IOL dislocation 3 ~26 6 PPV+ IOL IOL 42 74 4~27 8.5 1 30 52 12 22 IOL 120 IOL 3.5~4.0 mm 2-3 IOL Phaco+CTR+IOL 3 9 IOL 1.5 mm 10-0 PPV+ IOL 29 G IOL IOL 70 7 mm IOL PMMA IOL Alcon 4 6 mm IOL AKREOS-ADAPT Bausch & Lomb 2003 8 2008 12 IOL 1 ~38 3 82 146 B BCVA Phaco+CTR+IOL 40 72 3~23 3 LogMAR <10 mmhg 32 58 8 16 <120 Phaco+CTR+ IOL 34 59 CTR TOPCON I- OL BCVA SPSS 17.0 3.2 mm ± Croma, GmbH t IOL Acrysoft Alcon 64 χ AKREOS-ADAPT Bausch & Lomb 8 2 P<0.05 1.5 mm 1/2 BCVA Phaco+CTR+IOL 0.42±0.20 10-0 10-0 Polypropylene Alcon PPV+ IOL 0.38±0.23 BCVA t=0.0665 P=0.56 IOL IOL 4-5 Phaco+CTR+IOL 34 59 81.9%
49 CTR-IOL 1.5~28 BCVA 3 >1 ~<2 12 20.3% 2 ~<3 24 40.7% 3 ~<4 9 15.3% 4~5 5 8.5% >5 9 15.3%) PPV+ CTR CTR-IOL IOL IOL PPV+ IOL IOL IOL Phaco+CTR+IOL 3 8 13 Phaco+CTR+IOL IOL 18.1% CTR 3 12 12 20.3% PPV+ PPV+IOL IOL 3 22 27 36.5% Phaco +CTR +IOL PPL +PPV + Phaco+CTR+IOL PPV+ IOL IOL 81.9% CTR χ 2 =6.232 P = 0.02 Phaco+CTR+IOL CTR PPV+ IOL χ 2 =0.1094 P=0.98 Phaco+CTR+ PPV+IOL CTR IOL CTR χ 2 =4.130 P=0.02 Phaco+CTR+IOL IOL PMMA IOL PPV+IOL IOL Phaco+CTR+IOL CTR PPV+ IOL PPV+ IOL 4 5 6.8% IOL IOL 2 1.5 3 22 38 3 2 2 2.7% 1 1 1.4% IOL 3 3 4.1% 2 2 2.7% 1 1 1.4% CTR PMMA IOL CTR Phaco+CTR+IOL CTR+IOL CTR Phaco PPV+ IOL CTR CTR Phaco+CTR+IOL CTR
50 2015 24 1 Ophthalmol CHN 2015 Vol. 24 No.1 6 CTR CTR IOL CTR IOL 3 Phaco + CTR+IOL 3 PPV+ IOL Girard 13 IOL IOL IOL 14 PPV+ IOL IOL 38 IOL YAG 15 IOL Phaco+CTR+IOL IOL 10-0 16-17 3 7~10 7 IOL PPV+ IOL IOL 38 IOL IOL IOL PPV+ IOL Phaco+ CTR+IOL CTR+IOL PPV+ IOL PPV+ IOL 6.5 mm Phaco+CTR+IOL 18 3 mm PPV+IOL 74 70 7 mm PMMA IOL 6.5 mm IOL 8 Phaco+CTR+IOL IOL IOL CTR Phaco+CTR+IOL CTR IOL PPV+IOL 9-12 YAG CTR 1 Vasavada V, Vasavada VA, Hoffman RD. Intraoperative perfor - mance and postoperative outcome of endo-
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