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輔仁醫學期刊

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篇名 利用Gore-Tex®縫線對脫位人工水晶體進行固定手術
卷期 20:1
並列篇名 Intraocular fixation with Gore-Tex® sling for dislocated intraocular lens with plate loop haptic
作者 張心怡王元聖鄭成國
頁次 044-051
關鍵字 縫合固定眼後房人工水晶體人工水晶體脫位intraocular lens dislocationscleral fixationGore-Tex® suture
出刊日期 202203
DOI 10.53106/181020932022032001005

中文摘要

即便對經驗豐富的眼科醫師而言,人工水晶體脫位後重新固定亦是一場浩大的工程。雖然人工水晶體重新置入併以縫線固定手術已行之有年,要完成此手術仍必須將角膜傷口擴大才能將舊的人工水晶體取出而置入新的人工水晶體。因此術後除了造成傷口需更長的癒合時間外,也會造成角膜高度閃光之問題。本篇提出一項新的人工水晶體縫合固定手術,不需將舊有脫位之人工水晶體取出,而是將其直接固定在眼球內部,以減少前述之副作用。

英文摘要

Intraocular lens (IOL) dislocation is always a nightmare to even an experienced ophthalmic surgeon. The scleral fixation of the IOL is commonly adopted in cases of IOL dislocation, but suture erosion and breakage remain significant concerns. Besides, surgical induced astigmatism and longer recovery time are associated with the relatively large corneal wound during the explantation and implantation of the IOL. Therefore, we described a modified scleral fixation technique for dislocated IOL with plate loop haptic. First, trocar assistant 25-gauge sclerotomies were done, and the dislocated IOL was grasped from the vitreous cavity into the anterior chamber. The CV-8 polytetrafluoroethylene (PFTE; Gore-Tex® ) suture was inserted through the small corneal wound, and was then threaded through and the haptic eyelet of the IOL. All four ends of the Gore-Tex® suture were pulled through the sclerotomies once the suture end passed through the both eyelets of the IOL, and the sutures were carefully adjusted and tied. By using this modified technique, we successfully decreased the surgical induced astigmatism and the possibility of suture breakage in the future.

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