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.) |
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| 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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