Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia

Purpose. To determine the specificity of functional and tonographic parameters of the eyeball in children with cataract, aphakia and pseudophakia. Material and methods. A comparative analysis of eye hydrodynamics indices was made according to a simplified procedure, using the Friedenwald nomogram, o...

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Main Authors: L. S. Khamraeva, L. Yu. Bobokha, L. A. Katargina
Format: Article
Language:Russian
Published: Real Time Ltd 2021-03-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/585
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author L. S. Khamraeva
L. Yu. Bobokha
L. A. Katargina
author_facet L. S. Khamraeva
L. Yu. Bobokha
L. A. Katargina
author_sort L. S. Khamraeva
collection DOAJ
description Purpose. To determine the specificity of functional and tonographic parameters of the eyeball in children with cataract, aphakia and pseudophakia. Material and methods. A comparative analysis of eye hydrodynamics indices was made according to a simplified procedure, using the Friedenwald nomogram, on 75 children aged 2 to 17 years with cataract (24 eyes), aphakia (21 eyes), pseudophakia (15 eyes), and IOL dislocation (15 eyes), as well as 12 healthy children.Results. In pseudophakia, true IOP was found to fall to 10.00 ± 0.01 mm Hg due to a decrease in aqueous humor production (to 0.10±0.01 mm3 / min) and increase of its outflow (to 0.75 ± 0.02 mm3/min / mm). IOL dislocation led to an increase in true IOP (24.40±1.0 mm Hg) due to an increase in aqueous humor production (4.09±0.05 mm3/min) and a decrease in its outflow (0.010 ± 0.002 mm3/min/mm). In these eyes, clinical manifestations of secondary pseudophakic glaucoma were noted, which are explained by factors obstructing aqueous humor outflow (vitreous prolapse and partial vitreous block) and considered an indication for re-operation.Conclusion. Statistically significant changes of hydrodynamic eye parameters in children with pseudophakia have been detected: increased true IOP in IOL dislocation, and, conversely, reduced true IOP in case of the normal IOL location. The authors believe that eye “hypotension” in case of pseudophakia requires further study.
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spelling doaj.art-325f4a4dbfde40aca9d1edb38ae77c092023-03-13T07:54:31ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602021-03-01141656810.21516/2072-0076-2021-14-1-65-68337Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakiaL. S. Khamraeva0L. Yu. Bobokha1L. A. Katargina2Ташкентский педиатрический медицинский институтТашкентский педиатрический медицинский институтФГБУ НМИЦ глазных болезней им. Гельмгольца Минздрава РоссииPurpose. To determine the specificity of functional and tonographic parameters of the eyeball in children with cataract, aphakia and pseudophakia. Material and methods. A comparative analysis of eye hydrodynamics indices was made according to a simplified procedure, using the Friedenwald nomogram, on 75 children aged 2 to 17 years with cataract (24 eyes), aphakia (21 eyes), pseudophakia (15 eyes), and IOL dislocation (15 eyes), as well as 12 healthy children.Results. In pseudophakia, true IOP was found to fall to 10.00 ± 0.01 mm Hg due to a decrease in aqueous humor production (to 0.10±0.01 mm3 / min) and increase of its outflow (to 0.75 ± 0.02 mm3/min / mm). IOL dislocation led to an increase in true IOP (24.40±1.0 mm Hg) due to an increase in aqueous humor production (4.09±0.05 mm3/min) and a decrease in its outflow (0.010 ± 0.002 mm3/min/mm). In these eyes, clinical manifestations of secondary pseudophakic glaucoma were noted, which are explained by factors obstructing aqueous humor outflow (vitreous prolapse and partial vitreous block) and considered an indication for re-operation.Conclusion. Statistically significant changes of hydrodynamic eye parameters in children with pseudophakia have been detected: increased true IOP in IOL dislocation, and, conversely, reduced true IOP in case of the normal IOL location. The authors believe that eye “hypotension” in case of pseudophakia requires further study.https://roj.igb.ru/jour/article/view/585гидродинамика глазакатарактаафакияартифакияпсевдофакическая глаукомаимплантация иолдислокация хрусталика
spellingShingle L. S. Khamraeva
L. Yu. Bobokha
L. A. Katargina
Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
Российский офтальмологический журнал
гидродинамика глаза
катаракта
афакия
артифакия
псевдофакическая глаукома
имплантация иол
дислокация хрусталика
title Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
title_full Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
title_fullStr Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
title_full_unstemmed Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
title_short Eye hydrodynamics indicators in children with congenital cataract, aphakia and pseudophakia
title_sort eye hydrodynamics indicators in children with congenital cataract aphakia and pseudophakia
topic гидродинамика глаза
катаракта
афакия
артифакия
псевдофакическая глаукома
имплантация иол
дислокация хрусталика
url https://roj.igb.ru/jour/article/view/585
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AT lyubobokha eyehydrodynamicsindicatorsinchildrenwithcongenitalcataractaphakiaandpseudophakia
AT lakatargina eyehydrodynamicsindicatorsinchildrenwithcongenitalcataractaphakiaandpseudophakia