Vestnik On-line
Orenburg State University november 23, 2024   RU/EN
Headings of Vestnik
Pedagogics
Psychology
Other

Search
Vak
Антиплагиат
Orcid
Viniti
ЭБС Лань
Rsl
Лицензия Creative Commons

2015, № 12 (187)



Malov V.M., Eroshevskaya E.B., Malov I.V., Gorbunov A.E., Banzykina Y.V. FRAGMENTATION OF THE NUCLEUS OF THE CRYSTALLINE LENS BY PHACOEMULSIFICATION IN PATIENTS WITH PSEUDOEXFOLIATION SYNDROME In patients with pseudoexfoliation syndrome marked difficulty in performing phacoemulsification at the stage of fragmentation of the nucleus, associated with weak Zinovich ligaments, possible subluxation of the lens, the presence of a dense core, rigid narrow pupil. For prevention of possible complications there is a need to develop methods of crushing of the core lens, avoid or reduce the tension and tear Zinovich ligaments and hydrodynamic effects on the capsule of the lens. To that end, phacofragmentation, the use of which reduces strain on ligaments and posterior capsule of the lens; to minimize the influence of ultrasound on the tissues, to reduce the number of intra- and postoperative complications and to improve the quality of surgical treatment in these patients. A comparative analysis of the results of phacoemulsification cataract surgery in 56 patients with pseudoexfoliation syndrome by traditional and proposed technology of crushing of the core lens. During the operation, two patients of the control group was observed prolapse of the vitreous body. Postoperative corneal edema was observed in one patient the primary and in two patients of the control group, ocular hypertension — two patients of the main and three in the control group. High functional results of the patients in both groups (p > 0.05): the maximum correctable visual acuity in the first days after surgery was 0,678 ± 0,32; 12 months — 0,91 ± 0,35. The magnitude of the induced postoperative astigmatism at discharge ranged from 0.75 to 2.0 D, an average of (1.28 ± 0.43) D; 12 months — (0.45 ± 0.42) D. Visual results of surgery, as well as the magnitude of induced astigmatism did not differ significantly between patients of both groups. The technology of phacofragmentation allows to obtain good results of surgical treatment of patients without the risk of serious complications.Key words: phacoemulsification, pseudoexfoliation syndrome, chopper.

Download
References:

1. Krol, D. S. Pseudoexfoliation syndrome and its role in the pathogenesis of glaucoma // Vestnik of ophthalmology. — 1968. — No. 1. — P. 9-15.

2. Takhchidi H. P., Agafonova V. V., Frankivsk-Gerlach M. S. Clinical-morphological signs of initial ocular manifestations of pseudoexfoliation syndrome // Ophthalmosurgery. — 2011. — No. 1. — P. 54-59.

3. Schlotzer-Schrhardt U., Naumann G. O. A histopathologic study of zonular instability in pseudoexfoliation syndrome // Am. J. Ophthalmol. — 2004. — Vol. 118. — P. 730.

4. Sbeity Z., Dorairaj S. K., Reddy S. et al. Ultrasound biomicroscopy of zonular anatomy in clinically unilateral exfoliation syndrome // ActaOphthalmologica. — 2008. — V. 86. — P. 565-568.

5. Aznabaev B. M. Ultrasonic cataract surgery — phacoemulsification. Moscow. — 2005, p. 129.

6. Kurysheva N. And. Pseudoexfoliation syndrome and pseudoexfoliation glaucoma: a training method. allowance. — M., 2008. — 62 p.

7. Vinod Kumar, N. Dushin.In. and others to assess the efficacy and safety of phacoemulsification in patients with pseudoexfoliation syndrome // Modern technologies in cataract and refractive surgery: IX scientific and practical conference. with Intern. participation: abstracts. Dokl. — M., 2008. — P. 146-153.

8. Eroshevskaya E. B. Intraocular correction of aphakia in patients with primary open-angle glaucoma: author. dis. Dr. honey. Sciences. Samara, 1997. — 36 p.

9. Kamenskikh T. G., O. A. Andreichenko, T. V. Ryazantseva Intraoperative complications during cataract surgery in patients with pseudoexfoliation syndrome. Fedorov read 2009. VIII all-Russian Conf. with Intern. participation.


About this article

Authors: Bantsykina Yu.V., Malov V.M., Eroshevskaya E.B., Malov I.V., Gorbunov A.E.

Year: 2015


Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

Crossref
Cyberleninka
Doi
Europeanlibrary
Googleacademy
scienceindex
worldcat
© Электронное периодическое издание: ВЕСТНИК ОГУ on-line (VESTNIK OSU on-line), ISSN on-line 1814-6465
Зарегистрировано в Федеральной службе по надзору в сфере связи, информационных технологий и массовых коммуникаций
Свидетельство о регистрации СМИ: Эл № ФС77-37678 от 29 сентября 2009 г.
Учредитель: Оренбургский государственный университет (ОГУ)
Главный редактор: С.А. Мирошников
Адрес редакции: 460018, г. Оренбург, проспект Победы, д. 13, к. 2335
Тел./факс: (3532)37-27-78 E-mail: vestnik@mail.osu.ru
1999–2024 © CIT OSU