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 ^{[№ 12 ' 2015]}
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.