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| Effectiveness and Safety of 25-G Vitrectomy combined with transscleral Intraocular Lens Implantation in the treatment of complex cataract |
| Shasha Luo,Jie Zhang,Nannan Ding,Jinjin Yu,Yanghao Chen,Zhifeng Wu |
| Department of Ophthalmology, Nanjing Medical University Affiliated Wuxi Second Hospital, Wuxi 214002, China |
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Abstract Objective: To measure the clinical efficacy and safety of 25-G vitrectomy combined with transscleral intraocular lens (IOL) implantation. Methods: In this prospective study, patients (n=39, 39 eyes) without capsule support and experiencing lens dislocation, IOL dislocation, and aphakia were enrolled and treated with 25-G vitrectomy combined with transscleral IOL implantation. Differences in visual acuity, intraocular pressure (IOP), number of corneal endothelial cells, location of IOL, postoperative anatomic success, and the recurrence rate of IOL dislocation and complications were recorded. Data paired t-tests and repeated measured ANOVA. results: The average visual acuity (LogMARs) at 1 week, 1 month, 3 months, and 6 months after surgery were significantly differences improved compared with the pre-surgical values (P<0.05). The average IOPs at 1 week, 1 month, 3 months, and 6 months after operation were significantly ifferences lower compared with the pre-surgical values (P<0.05). One week after surgery, all of the implanted IOLs were in the correct position. One month after surgery, the IOLs in 36 eyes (92%) were in the correct position. The haptics of one IOL (3%) were exposed to the conjunctiva. Dislocation of two IOLs (5%) required alignment surgery at 3 and 6 months after insertion, positions of 36 IOLs were stable.conclusions: The 25-G vitrectomy combined with transscleral IOL implantation in the treatment of eyes without capsule support was effective and safe.
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Received: 29 January 2018
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| Fund: Young Medical Talents Project of Wuxi City Jiangsu Province (QNRC057); Ophthalmology Clinical Medical Center Project of Wuxi City Jiangsu Province (LCZX003) |
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Corresponding Authors:
Zhifeng Wu, Department of Ophthalmology, Nanjing Medical University Affiliated Wuxi Second Hospital, Wuxi 214002, China (Email: zhifengwu2013@126.com)
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