Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In ou...Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In our technique,a single-piece rigid polymethyl methacrylate(PMMA)lens was implanted in the bag following the nucleus removal,with its axis vertical to the zonular dialysis.This endocapsular-implanted IOL stretched the bag and provided sufficient stability and lens centration.This technique was performed in 19 eyes with subluxated cataracts,with zonulysis of≤120 degree and nuclear sclerosis of grade≤3.Mean follow-up time was 9.8 months.Results:All eyes had endocapsular IOL implantation during surgery.Intraoperative extension of the dialysis did not occur in any eye.The IOL was placed in the bag in all but 1 case,in which dislocation of the IOL haptic into the vitreous occurred.Though the IOL was slightly decentered in 3 cases,it kept stable.All patients were asymptomatic.Conclusions:This approach provides a simplified and practical strategy for surgically managing subluxation with mild-moderate zonular loss.展开更多
Objectives:Even though low-profile visualized intraluminal support(LVIS)device is used extensively currently and provide intraluminal support in complex cerebral aneurysm embolization,only few studies have reported it...Objectives:Even though low-profile visualized intraluminal support(LVIS)device is used extensively currently and provide intraluminal support in complex cerebral aneurysm embolization,only few studies have reported its clinical results.This study presents the results of patients treated with LVIS.Patients and methods:Cerebral aneurysms with an undefined neck,fusiform shape,and blood blister-like aneurysms that were treated with LVIS between May 2017 and May 2019 were reviewed retrospectively.Results:Overall,112 aneurysms in 104 patients were treated using LVIS,and 105 LVISs were placed.Of these,101 aneurysms(90%)were small(<10 mm)in size,17 were fusiform aneurysms,and 3 were blood blister-like aneurysms.Overall,39 patients suffered a subarachnoid hemorrhage and 65 had no bleeding history.2 patients died of internal carotid artery(ICA)thrombosis,resulting in 1.9%mortality rate.Follow-up angiography was obtained in 68 patients(65%),and the complete obliteration rate was 98.5%in 6-12 months.Conclusion:The LVIS is a safe and effective treatment for small ruptured or unruptured complex intracranial aneurysms.展开更多
基金The study was approved by IRB of The First People’s Hospital of Yunnan Province(No.2016031).
文摘Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In our technique,a single-piece rigid polymethyl methacrylate(PMMA)lens was implanted in the bag following the nucleus removal,with its axis vertical to the zonular dialysis.This endocapsular-implanted IOL stretched the bag and provided sufficient stability and lens centration.This technique was performed in 19 eyes with subluxated cataracts,with zonulysis of≤120 degree and nuclear sclerosis of grade≤3.Mean follow-up time was 9.8 months.Results:All eyes had endocapsular IOL implantation during surgery.Intraoperative extension of the dialysis did not occur in any eye.The IOL was placed in the bag in all but 1 case,in which dislocation of the IOL haptic into the vitreous occurred.Though the IOL was slightly decentered in 3 cases,it kept stable.All patients were asymptomatic.Conclusions:This approach provides a simplified and practical strategy for surgically managing subluxation with mild-moderate zonular loss.
基金supported by the Beijing Municiple Administration of Hospitals Incubating Program(No.PX2020039).
文摘Objectives:Even though low-profile visualized intraluminal support(LVIS)device is used extensively currently and provide intraluminal support in complex cerebral aneurysm embolization,only few studies have reported its clinical results.This study presents the results of patients treated with LVIS.Patients and methods:Cerebral aneurysms with an undefined neck,fusiform shape,and blood blister-like aneurysms that were treated with LVIS between May 2017 and May 2019 were reviewed retrospectively.Results:Overall,112 aneurysms in 104 patients were treated using LVIS,and 105 LVISs were placed.Of these,101 aneurysms(90%)were small(<10 mm)in size,17 were fusiform aneurysms,and 3 were blood blister-like aneurysms.Overall,39 patients suffered a subarachnoid hemorrhage and 65 had no bleeding history.2 patients died of internal carotid artery(ICA)thrombosis,resulting in 1.9%mortality rate.Follow-up angiography was obtained in 68 patients(65%),and the complete obliteration rate was 98.5%in 6-12 months.Conclusion:The LVIS is a safe and effective treatment for small ruptured or unruptured complex intracranial aneurysms.
