目的：探讨一片式后房型人工晶状体(IOL)无缝线巩膜内固定术的单中心结果。

方法：这项前瞻性研究共纳入50例无晶状体眼患者，均行一片式人工晶状体无缝线巩膜内固定术，术前和术后均行视力，裂隙灯和眼底检查，眼压测量，角膜测量，IOL MASTER测量，光学相干断层扫描(OCT)等眼科检查。

结果：所有IOL均成功植入所需位置，术中无并发症。术后并发症包括角膜水肿(n=2)，眼压升高(n=3)，黄斑囊样水肿(n=1)以及偏离中心(n=2)。所有患者视力都得到了很好的恢复。对术后并发症病例的手术录像进行回顾性评估。角膜散光无明显变化。

结论：经过6mo随访和各种参数的评估，采用一片式IOL进行无缝线、无胶巩膜固定术取得了良好的视力恢复效果。

METHODS: In this prospective study, 50 aphakia cases were evaluated. Preoperative and postoperative visual acuity, slit lamp and fundus examination, applanation tonometry, keratometry, IOL MASTER measurement, optical coherence tomography(OCT), Scheimpflug imaging were done for an extensive evaluation.

RESULTS: All IOLs were successfully implanted at the desired position without intraoperative complications. Postoperative complications included corneal edema(n=2), raised intraocular pressure(IOP)(n=3), cystoid macular edema(CME)(n=1)and decentration(n=2). All were managed to the level of good visual recovery. Surgery videos were retrospectively evaluated in cases of postoperative complications. There was no significant change in corneal astigmatism.

CONCLUSION: After extensive 6mo follow up with evaluation of a variety of parameters, our technique of sutureless, glueless scleral fixation of IOL using single-piece IOL has shown favorable results and a potential option in visual rehabilitation.