A new method of sclerocorneal fixation of the posterior chamber intraocular lenses
DOI:
https://doi.org/10.31288/oftalmolzh20153912Keywords:
Complicated, aphakia, posterior chamber intraocular lenses, sclerocorneal fixationAbstract
Introduction: There are several ways to treat complicated aphakia, which prevents standard fixation of intracapsular IOL. Each of these methods has its own fixation advantages and disadvantages.
Purpose: To develop a safe and effective treatment of complicated aphakia by trans-scleral fixation of the posterior chamber IOL.
Material and methods: We examined 8 patients. There was found brown cataract in 2 patients, high density- in 3 patients. 3 eyes were diagnosed lens subluxation of the second degree, in 2 eyes — luxation of the lens into the vitreous body. Aphakia occurred in 3 eyes: in 2 cases it was traumatic aphakia.
Results: During the ultrasound biomicroscopy 1 week after surgery correct IOL central location was confirmed in seven cases. Its decentration by 1 mm in the vertical plane has been found in one eye.
Conclusion: The method is less traumatic and highly effective leading to rapid visual and social rehabilitation.
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Malyugin BE, Strusova NA, Sallum FA. Justification for the possibility of fixing the IOL anterior capsule of the natural lens in complicated phacoemulsification. III Euro-Asian conference on ophthalmosurgery. Ekaterinburg; 2003:1. 201-3. In Russian.
Poznyak NI, Pashkin NA, Kovshel NM. Tunnel intraocular lens implantation in aphakic eyes: instruction of method МЗ РБ 04.12.02. Per. N 88-0602. - Мн., 2003.
Takhchidi KhP, Egorova EV, Tolchinskaia AI. Intraocular correction in complicated cataract surgery. M.: Izd-vo «Novoe v meditsine». 2004.
Fedorov SN, Egorova EV. Surgical treatment of traumatic cataract with intraocular correction. Moscow; 1985. 320 p.
Lubniewski AJ, Holland EJ, Van Meter WS, Gussler D, Parelman J, Smith ME. Histologic study of eyes with transsclerally sutured posterior chamber intraocular lenses. Am. J. Ophthalmol. 1990;110:237. https://doi.org/10.1016/S0002-9394(14)76337-8
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