KẾT QUẢ PHẪU THUẬT CẮT DỊCH KÍNH PHỐI HỢP CỐ ĐỊNH THỂ THUỶ TINH NHÂN TẠO KHÔNG DÙNG CHỈ KHÂU

Abstract

Objective: To evaluate initially the results of combining vitrectomy with Intraocular Lens(IOLs) Fixation without sutures at some Eye Hospitals in Hanoi. Subjects and research methods: Descriptive study without a control group on 32 eyes, which were indicated for combining vitrectomy with IOLs Fixation of 29 patients from 8/2021 to 8/2022. A prospective descriptive clinical study of all patients with vitrectomy combined with IOLs Fixation without sutures for 1 month. Results: The male/female ratio in the study was approximately 5.4/1. The mean age was 54.72 ± 14.2 years old (the youngest was 20 years old and the oldest was 72 years old). Most cases had traumatic causes, accounting for 71.86%, closed globe injury (62.5%), open globe injury (9.38%), lens pathology (15.63%), complication of phacoemulsification (12.50%). The ratio of right eye/left eye is similar (43.75%/56.25%). After surgery and follow-up time after 1 month, no serious complications were detected such as: retinal detachment, endophthalmitis, vitreous hemorrhage, cystic macular edema. Complications occur at a small rate: increased intraocular pressure 1/32 eyes (3,13%). All vitrectomy combined with IOLs Fixation eyes improved visual acuity after surgery. The LogMAR average maximum corrected visual acuity 1 month after surgery was 0.36 ± 0.13 (the lowest acuity level was 20/60, the highest was 20/25). The mean intraocular pressure decreased slightly from 17.97 ± 7.66 mmHg to one month after surgery to 15.03 ± 5.55 mmHg. Conclusion: The technique of combining vitrectomy with IOLs Fixation without sutures is quite safe, although there is a certain rate of complications, but at a mild level, it can be easily intervened without affecting the final results.