无缝线后房型人工晶状体巩膜固定术临床应用的研究进展  

Research progress in clinical application of sutureless scleral fixation of posterior chamber intraocular lens

作　　者：郝宗龙 聂黎黎[1] 裴颖[1] HAO Zonglong;NIE Lili;PEI Ying(Department of Ophthalmology,Second Hospital,Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院眼科,吉林长春130041

出　　处：《吉林大学学报(医学版)》2025年第2期549-556,共8页Journal of Jilin University:Medicine Edition

基　　金：吉林省卫健委卫生技术创新项目(201816264761)。

摘　　要：无缝线后房型人工晶状体巩膜固定术(SSF-PCIOL)是一种主要用于在缺乏足够晶状体囊膜支撑的情况下实施人工晶状体(IOL)植入固定的技术,就临床效果而言,SSF-PCIOL具有可以提高患者视觉质量和增强IOL稳定性的优势,其术式包括经玻璃体入路型、巩膜瓣纤维蛋白胶辅助型和经结膜入路型,可供临床选用的IOL类型也从传统的三片式向专门设计用于巩膜固定的新型IOL发展。在临床实践中,SSF-PCIOL可与其他眼科手术联合开展,并应用先进的辅助设备,在减少患者手术创伤和保障手术效果的前提下,提升手术操作的精准性与效果评估的客观性。现就SSF-PCIOL的术式发展历程、IOL类型特点、IOL联合手术和辅助设备的协同应用以及临床效果的全面评估等方面进行综述,以期为该术式的进一步改进提供临床依据,并为无晶状体囊膜支撑的患者提供手术选择参考。Sutureless scleral fixation of posterior chamber intraocular lens(SSF-PCIOL)is a technique mainly employed for the implantation and fixation of intraocular lens(IOL)when there is insufficient support from the crystalline lens capsule.In terms of clinical effects,SSF-PCIOL offers the advantages of improved visual quality and enhanced IOL stability in the patients.The surgical technique for SSF-PCIOL has evolved from the transvitreal scleral fixation approach,to the fibrin glue assisted approach,and then to the transconjunctival approach.The types of IOL available for clinical use have also shifted from traditional three-piece designs to specialized IOL designed for scleral fixation.SSF-PCIOL can be carried out in combination with other ophthalmic procedures and advanced auxiliary equipment to increase the precision of surgical procedures and the objectivity of outcome assessments while minimizing surgical trauma in the patients and ensuring surgical outcomes.This review discusses the evolution of SSF-PCIOL techniques,the characteristics of available IOL types,the synergistic application of combined procedures and auxiliary©《吉林大学学报(医学版)》编辑部,开放获取遵循CC BY-NC-ND协议。©Editorial Board of Journal of Jilin University(Medicine Edition).Open access under CC BY-NC-ND license.equipment,and the comprehensive evaluation of clinical outcomes,with the aim of providing clinical evidence for further refinement of the technique and offering references for surgical options for the patients with insufficient crystalline lens capsule support.

关 键 词：无缝线 后房型 巩膜固定 无晶状体 人工晶状体 

分 类 号：R779.6[医药卫生—眼科]