医学
人工晶状体
科克伦图书馆
前瞻性队列研究
入射(几何)
梅德林
随机对照试验
白内障手术
累积发病率
外科
回顾性队列研究
眼科
队列研究
内科学
移植
政治学
法学
物理
光学
作者
Olav Kristianslund,Marius Dalby,Liv Drolsum
出处
期刊:Journal of Cataract and Refractive Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2021-07-01
卷期号:47 (7): 942-954
被引量:11
标识
DOI:10.1097/j.jcrs.0000000000000605
摘要
This review aimed to evaluate the cumulative incidence, patient characteristics, predisposing conditions, and treatment outcomes for late in-the-bag intraocular lens (IOL) dislocation. Literature searches in PubMed (MEDLINE), Embase, and Cochrane Library Central database identified 1 randomized clinical trial, 1 prospective case series, 2 prospective cohort studies, and 36 retrospective studies of this condition, which showed that the cumulative incidence was 0.5% to 3%, it occurred on average 6 to 12 years after cataract surgery, and mean patient age was 65 to 85 years. Pseudoexfoliation syndrome, myopia, and previous vitreoretinal surgery were the most common predisposing conditions. Studies indicated that IOL repositioning and IOL exchange provided similar visual outcomes and were equally safe. The long-term visual outcome seemed satisfactory. However, the quality of evidence regarding treatment was in general quite low. More studies of late in-the-bag IOL dislocation are needed, and in particular, different surgical techniques should be included in high-quality clinical trials.
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