دورية أكاديمية
Safety and efficacy of capsular tension ring and capsular hook implantation for managing ectopia lentis in Marfan syndrome: real-world study.
العنوان: | Safety and efficacy of capsular tension ring and capsular hook implantation for managing ectopia lentis in Marfan syndrome: real-world study. |
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المؤلفون: | Chen Z; From the Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China (Z. Chen, Jia, T. Chen, Shen, Wang, Sun, Jiang); NHC Key Laboratory of Myopia, Fudan University; Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China (Z. Chen, Jia, T. Chen, Shen, Wang, Sun, Jiang); Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China (Z. Chen, Jia, T. Chen, Shen, Wang, Sun, Jiang)., Jia W, Chen T, Shen X, Wang Y, Sun Y, Jiang Y |
المصدر: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 2024 Jul 01; Vol. 50 (7), pp. 698-706. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986- |
مواضيع طبية MeSH: | Ectopia Lentis*/surgery , Ectopia Lentis*/physiopathology , Marfan Syndrome*/complications , Marfan Syndrome*/surgery , Visual Acuity*/physiology , Lens Implantation, Intraocular* , Lens Capsule, Crystalline*/surgery, Humans ; Retrospective Studies ; Male ; Female ; Child ; Child, Preschool ; Phacoemulsification ; Prostheses and Implants ; Treatment Outcome ; Adolescent ; Prosthesis Implantation ; Adult |
مستخلص: | Purpose: To evaluate the safety and efficacy of capsular tension ring and capsular hook (CTR-CH) implantation in Marfan syndrome (MFS) patients with ectopia lentis (EL). Setting: Eye and ENT Hospital of Fudan University, Shanghai, China. Design: Retrospective propensity score-matched cohort study. Methods: This study included patients with MFS who had in-the-bag intraocular lens (IOL) implantation assisted by CTR-CH or modified CTR (MCTR). The safety analysis focused on the resurgery rate. The efficacy analysis compared the corrected distance visual acuity (CDVA) and the incidence of laser capsulotomy after propensity score matching (PSM). Results: This study encompassed 148 eyes that had the CTR-CH procedure and 162 eyes that received MCTR implantation. In the CTR-CH group, the median age at the time of surgery was 5 years, with a mean follow-up duration of 1.81 ± 0.4 years. 5 eyes (3.38%) required a second surgery because of retinal detachment (2, 1.35%), IOL decentration (2, 1.35%), and CH dislocation (1, 0.68%). The resurgery rate was comparable with that of the MCTR group ( P = .486). After PSM, a total of 108 eyes were recruited in each group. Postoperative CDVA was significantly improved in both groups (both P < .001), but comparable between the groups ( P = .057). The posterior capsular opacification took place earlier ( P = .046) while the anterior capsular opacification required laser capsulotomy at a later stage ( P = .037) compared with the MCTR group. Conclusions: The CTR-CH procedure was a feasible, safe, and efficient approach for managing EL in patients with MFS. (Copyright © 2024 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.) |
References: | Rasul A, Roos L, Groth K, Riise P, Bach-Holm D, Kessel L. Epidemiology of ectopia lentis and outcomes after surgery in a Danish population. J Cataract Refract Surg 2022;48:1394–1402. Venkateswaran N, Henderson BA. Loose zonules in cataract surgery. Curr Opin Ophthalmol 2022;33:53–57. Fan F, Luo Y, Liu X, Lu Y, Zheng T. Risk factors for postoperative complications in lensectomy–vitrectomy with or without intraocular lens placement in ectopia lentis associated with Marfan syndrome. Br J Ophthalmol 2014;98:1338–1342. Byrd JM, Young MP, Liu W, Zhang Y, Tate DB, Crandall AS, Owen LA. Long-term outcomes for pediatric patients having transscleral fixation of the capsular bag with intraocular lens for ectopia lentis. J Cataract Refract Surg 2018;44:603–609. Pessier AP, Potter KA. Ocular pathology in bovine Marfan's syndrome with demonstration of altered fibrillin immunoreactivity in explanted ciliary body cells. Lab Invest 1996;75:87–95. Kjeldsen S, Andersen N, Groth K, Larsen D, Hjortdal J, Berglund A, Gravholt C, Stochholm K. Ocular morbidity in Marfan syndrome: a nationwide epidemiological study. Br J Ophthalmol 2023;107:1051–1055. Chen Z, Zhang M, Deng M, Chen T, Chen J, Zheng J, Jiang Y. Surgical outcomes of modified capsular tension ring and intraocular lens implantation in Marfan syndrome with ectopia lentis. Eur J Ophthalmol 2022;32:924–932. Chen T, Deng M, Zhang M, Chen J, Chen Z, Jiang Y. Visual outcomes of lens subluxation surgery with Cionni modified capsular tension rings in Marfan syndrome. Sci Rep 2021;11:2994. Cai L, Han X, Jiang Y, Qiu X, Qian D, Lu Y, Yang J. Three-year outcomes of Cionni-modified capsular tension ring implantation in children under 8 years old with ectopia lentis. Am J Ophthalmol 2021;224:74–83. Ou Z, Zhao P, Zhang Q, Jin H. Intrascleral fixation of implantable polypropylene capsular hook(s): a sutureless technique to fixate the capsular bag for intraocular lens implantation in subluxated lenses. Retina 2019;39:S33–S38. Chandra A, Patel D, Aragon-Martin JA, Pinard A, Collod-Béroud G, Comeglio P, Boileau C, Faivre L, Charteris D, Child AH, Arno G. The revised Ghent nosology; reclassifying isolated ectopia lentis. Clin Genet 2015;87:284–287. Raj SM, Vasavada AR, Johar SR, Vasavada VA, Vasavada VA. Post-operative capsular opacification: a review. Int J Biomed Sci 2007;3:237–250. Werner L, Pandey SK, Apple DJ, Escobar-Gomez M, McLendon L, Macky TA. Anterior capsule opacification: correlation of pathologic findings with clinical sequelae. Ophthalmology 2001;108:1675–1681. Jin H, Ou Z, Zhang Q, Zhao P. Intrascleral fixation of implantable polypropylene capsular hook(s): a new sutureless technique to reposition dislocated intraocular lens-capsular bag complex. Retina 2019;39:S44–S49. Chen Z, Zhao Z, Sun Y, Jia WN, Zheng JL, Chen JH, Chen TH, Lan LN, Jiang YX. Phacoemulsification combined with supra-capsular and scleral-fixated intraocular lens implantation in microspherophakia: a retrospective comparative study. Front Med 2022;9:869539. Eom Y, Song JS, Kim HM. Modified Haigis formula effective lens position equation for ciliary sulcus-implanted intraocular lenses. Am J Ophthalmol 2016;161:142–149.e492. Jia W, Wang Q, Niu L, Chen Z, Jiang Y. Morphometric assessment of the ciliary body in patients with Marfan syndrome and ectopia lentis: a quantitative study using ultrasound biomicroscopy. Am J Ophthalmol 2023;251:24–31. Jin GM, Fan M, Cao QZ, Lin JX, Zhang YC, Lin JQ, Wang YY, Young CA, Zheng DY. Trends and characteristics of congenital ectopia lentis in China. Int J Ophthalmol 2018;11:1545–1549. Kuss O, Blettner M, Börgermann J. Propensity score: an alternative method of analyzing treatment effects. Dtsch Arztebl Int 2016;113:597–603. BenEzra D. Intraocular lenses for unilateral paediatric aphakia. Early lenses and long-term follow-up. Eur J Implant Refract Surg 1990;2:285–289. Rabie HM, Malekifar P, Javadi MA, Roshandel D, Esfandiari H. Visual outcomes after lensectomy and iris claw artisan intraocular lens implantation in patients with Marfan syndrome. Int Ophthalmol 2017;37:1025–1030. Wang A, Fan Q, Jiang Y, Lu Y. Primary scleral-fixated posterior chamber intraocular lenses in patients with congenital lens subluxation. BMC Ophthalmol 2021;21:411. Bulut MN, Göktaş E, Karadağ E, Bulut K, Oral AY, Şimşek Ş. Sutureless scleral-fixated intraocular lens implantation in the treatment of congenital lens subluxation related to Marfan syndrome. J Pediatr Ophthalmol Strabismus 2021;58:401–406. Hara T, Hara T, Sakanishi K, Yamada Y. Efficacy of equator rings in an experimental rabbit study. Arch Ophthalmol 1995;113:1060–1065. Cionni RJ, Osher RH, Marques DMV, Marques FF, Snyder ME, Shapiro S. Modified capsular tension ring for patients with congenital loss of zonular support. J Cataract Refract Surg 2003;29:1668–1673. Ton Y, Naftali M, Lapid-Gortzak R, Assia EI. Management of subluxated capsular bag-fixated intraocular lenses using a capsular anchor. J Cataract Refract Surg 2016;42:653–658. Jacob S, Agarwal A, Agarwal A, Agarwal A, Narasimhan S, Ashok Kumar D. Glued capsular hook: technique for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses. J Cataract Refract Surg 2014;40:1958–1965. Jacob S, Agarwal A, Agarwal A, Sathish K, Prakash G, Kumar DA. Glued endocapsular hemi-ring segment for fibrin glue-assisted sutureless transscleral fixation of the capsular bag in subluxated cataracts and intraocular lenses. J Cataract Refract Surg 2012;38:193–201. Asano Y, Yaguchi S, Nishimura E, Soda M, Kozawa T. Modified capsule expander implantation to reposition and fixate the capsular bag in eyes with subluxated cataractous lenses and phacodonesis: intermediate-term results. J Cataract Refract Surg 2015;41:598–606. Hashimoto Y, Matsui H, Michihata N, Ishimaru M, Yasunaga H, Aihara M, Kaburaki T. Incidence of sympathetic ophthalmia after inciting events: a national database study in Japan. Ophthalmology 2022;129:344–352. Luebke J, Reinhard T, Agostini H, Boehringer D, Eberwein P. Long-term follow-up after scleral lens fixation in patients with Marfan syndrome. BMC Ophthalmol 2017;17:235. Sen P, Attiku Y, Bhende P, Rishi E, Ratra D, Sreelakshmi K. Outcome of sutured scleral fixated intraocular lens in Marfan syndrome in pediatric eyes. Int Ophthalmol 2020;40:1531–1538. Halili I, Mutlu FM, Erdurman FC, Gündogan FC, Kilic S. Influence of capsular tension ring on posterior capsule opacification in myopic eyes. Indian J Ophthalmol 2014;62:311–315. Lindholm JM, Laine I, Tuuminen R. Intraocular lens power, myopia, and the risk of Nd:YAG capsulotomy after 15,375 cataract surgeries. J Clin Med 2020;9:3071. Vock L, Georgopoulos M, Neumayer T, Buehl W, Findl O. Effect of the hydrophilicity of acrylic intraocular lens material and haptic angulation on anterior capsule opacification. Br J Ophthalmol 2007;91:476–480. |
تواريخ الأحداث: | Date Created: 20240227 Date Completed: 20240624 Latest Revision: 20240710 |
رمز التحديث: | 20240711 |
DOI: | 10.1097/j.jcrs.0000000000001434 |
PMID: | 38409756 |
قاعدة البيانات: | MEDLINE |
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