Frontiers in Medicine (Apr 2022)
Phacoemulsification Combined With Supra-Capsular and Scleral-Fixated Intraocular Lens Implantation in Microspherophakia: A Retrospective Comparative Study
- Ze-Xu Chen,
- Ze-Xu Chen,
- Ze-Xu Chen,
- Ze-Xu Chen,
- Zhen-Nan Zhao,
- Zhen-Nan Zhao,
- Zhen-Nan Zhao,
- Zhen-Nan Zhao,
- Yang Sun,
- Yang Sun,
- Yang Sun,
- Yang Sun,
- Wan-Nan Jia,
- Wan-Nan Jia,
- Wan-Nan Jia,
- Wan-Nan Jia,
- Jia-Lei Zheng,
- Jia-Lei Zheng,
- Jia-Lei Zheng,
- Jia-Lei Zheng,
- Jia-Hui Chen,
- Jia-Hui Chen,
- Jia-Hui Chen,
- Jia-Hui Chen,
- Tian-Hui Chen,
- Tian-Hui Chen,
- Tian-Hui Chen,
- Tian-Hui Chen,
- Li-Na Lan,
- Li-Na Lan,
- Li-Na Lan,
- Li-Na Lan,
- Yong-Xiang Jiang,
- Yong-Xiang Jiang,
- Yong-Xiang Jiang,
- Yong-Xiang Jiang
Affiliations
- Ze-Xu Chen
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Ze-Xu Chen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Ze-Xu Chen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Ze-Xu Chen
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Zhen-Nan Zhao
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Zhen-Nan Zhao
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Zhen-Nan Zhao
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Zhen-Nan Zhao
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Yang Sun
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Yang Sun
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Yang Sun
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Yang Sun
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Wan-Nan Jia
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Wan-Nan Jia
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Wan-Nan Jia
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Wan-Nan Jia
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Jia-Lei Zheng
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Jia-Lei Zheng
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Jia-Lei Zheng
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Jia-Lei Zheng
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Jia-Hui Chen
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Jia-Hui Chen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Jia-Hui Chen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Jia-Hui Chen
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Tian-Hui Chen
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Tian-Hui Chen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Tian-Hui Chen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Tian-Hui Chen
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Li-Na Lan
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Li-Na Lan
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Li-Na Lan
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Li-Na Lan
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- Yong-Xiang Jiang
- Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China
- Yong-Xiang Jiang
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Yong-Xiang Jiang
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Yong-Xiang Jiang
- Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China
- DOI
- https://doi.org/10.3389/fmed.2022.869539
- Journal volume & issue
-
Vol. 9
Abstract
BackgroundMicrospherophakia (MSP) is a rare ocular condition, the lens surgery of which is complicated by both insufficient zonules and undersized capsule.MethodsThis study included MSP eyes managed with phacoemulsification combined with supra-capsular and scleral-fixated intraocular lens implantation (SCSF-IOL) and made the comparison with those treated by transscleral-fixated modified capsular tension ring and in-the-bag intraocular lens implantation (MCTR-IOL).ResultsA total of 20 MSP patients underwent SCSF-IOL, and 17 patients received MCTR-IOL. The postoperative best corrected visual acuity was significantly improved in both groups (P < 0.001), but no difference was found between the groups (P = 0.326). The IOL tilt was also comparable (P = 0.216). Prophylactic Nd:YAG laser posterior capsulotomy was performed 1 week to 1 month after the SCSF-IOL procedure. In the SCSF-IOL group, two eyes (10.00%) needed repeated laser treatment and one eye (5.00%) had a decentered capsule opening. Posterior capsule opacification was the most common complication (6, 35.29%) in the MCTR group. No IOL dislocation, secondary glaucoma, or retinal detachment was observed during follow-up.ConclusionsSCSF-IOL is a viable option for managing MSP and is comparable with the MCTR-IOL. Nd:YAG laser posterior capsulotomy was necessary to prevent residual capsule complications after the SCSF-IOL procedure.
Keywords
- microspherophakia
- capsular bag
- phacoemulsification
- modified capsular tension ring
- Nd:YAG laser capsulotomy
