Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption
Рurpose. Evaluation of the clinical efficacy of the original procedure for fixing the posterior chamber intraocular lens (IOL) after phacoemulsification of cataracts (FEC), complicated by the violation of capsular lens support.Patients and Methods. 194 patients were examined after FEC, complicated...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2018-07-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/595 |
| _version_ | 1797875467512971264 |
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| author | A. A. Kozhukhov D. O. Kapranov I. G. Ovechkin N. I. Ovechkin |
| author_facet | A. A. Kozhukhov D. O. Kapranov I. G. Ovechkin N. I. Ovechkin |
| author_sort | A. A. Kozhukhov |
| collection | DOAJ |
| description | Рurpose. Evaluation of the clinical efficacy of the original procedure for fixing the posterior chamber intraocular lens (IOL) after phacoemulsification of cataracts (FEC), complicated by the violation of capsular lens support.Patients and Methods. 194 patients were examined after FEC, complicated by a capsular lenticular impairment. They were divided into 3 groups. In the main group (OG, 64 eyes) the IOL was sutured with an original technique, fundamentally different method, there nodes formed at the ends of the filaments were fixed in the layers of the cornea. In 2 controls groups, there the traditional IOL under the scleral flap (K1, 68 eyes) was performed and the IOL was attached to the iris (K2, 62 eyes). A comprehensive examination of the patients’ vision state included an evaluation of clinical, functional and subjective indicators.Results. The lowest total probability of postoperative complications development was noted in OG (6.4%) compared to K2 and K1 (16.0–17.7%). The overall probability of changing the positions of the IOL in the exhaust gas is 6.4%, which is significantly lower than in the K2 (9.6%) and K1 (14.6%) groups. The developed method in comparison with the traditional methods of fixation provides a higher level of patient’s quality of life (by 10.2–11.7%, p < 0.05) and functional indicators associated with the brightness and contrast sensitivity of the eye.The conclusion. The developed technique provides, in comparison with the traditional, a higher level of safety and functionality of IOL fixation. |
| first_indexed | 2024-04-10T01:47:58Z |
| format | Article |
| id | doaj.art-a0605a0159634f0cb91fb34a532c30b6 |
| institution | Directory Open Access Journal |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| last_indexed | 2024-04-10T01:47:58Z |
| publishDate | 2018-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj.art-a0605a0159634f0cb91fb34a532c30b62023-03-13T09:08:38ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452018-07-0115212413110.18008/1816-5095-2018-2-124-131392Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular DisruptionA. A. Kozhukhov0D. O. Kapranov1I. G. Ovechkin2N. I. Ovechkin3ФГБОУ ДПО «Институт повышения квалификации» ФМБА РоссииГБУЗ Нижегородской области «Городская клиническая больница № 13 Автозаводского района города Нижнего Новгорода»ФГБОУ ДПО «Институт повышения квалификации» ФМБА РоссииФГБУ «Московский научно-исследовательский институт глазных болезней имени Гельмгольца»Рurpose. Evaluation of the clinical efficacy of the original procedure for fixing the posterior chamber intraocular lens (IOL) after phacoemulsification of cataracts (FEC), complicated by the violation of capsular lens support.Patients and Methods. 194 patients were examined after FEC, complicated by a capsular lenticular impairment. They were divided into 3 groups. In the main group (OG, 64 eyes) the IOL was sutured with an original technique, fundamentally different method, there nodes formed at the ends of the filaments were fixed in the layers of the cornea. In 2 controls groups, there the traditional IOL under the scleral flap (K1, 68 eyes) was performed and the IOL was attached to the iris (K2, 62 eyes). A comprehensive examination of the patients’ vision state included an evaluation of clinical, functional and subjective indicators.Results. The lowest total probability of postoperative complications development was noted in OG (6.4%) compared to K2 and K1 (16.0–17.7%). The overall probability of changing the positions of the IOL in the exhaust gas is 6.4%, which is significantly lower than in the K2 (9.6%) and K1 (14.6%) groups. The developed method in comparison with the traditional methods of fixation provides a higher level of patient’s quality of life (by 10.2–11.7%, p < 0.05) and functional indicators associated with the brightness and contrast sensitivity of the eye.The conclusion. The developed technique provides, in comparison with the traditional, a higher level of safety and functionality of IOL fixation.https://www.ophthalmojournal.com/opht/article/view/595факоэмульсификация катарактыинтраокулярная линзакапсула хрусталикабескапсульная афакия |
| spellingShingle | A. A. Kozhukhov D. O. Kapranov I. G. Ovechkin N. I. Ovechkin Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption Oftalʹmologiâ факоэмульсификация катаракты интраокулярная линза капсула хрусталика бескапсульная афакия |
| title | Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption |
| title_full | Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption |
| title_fullStr | Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption |
| title_full_unstemmed | Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption |
| title_short | Development and Evaluation of Clinical Efficacy of Intraocular Lens Fixation after Cataract Phacoemulsification, Complicated by Capsular Lenticular Disruption |
| title_sort | development and evaluation of clinical efficacy of intraocular lens fixation after cataract phacoemulsification complicated by capsular lenticular disruption |
| topic | факоэмульсификация катаракты интраокулярная линза капсула хрусталика бескапсульная афакия |
| url | https://www.ophthalmojournal.com/opht/article/view/595 |
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