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.

Stebnev V.S., Stebnev S.D., Malov V.M.
SYMPTOMATIC VITREO-MACULAR ADHESIONCOMPLICATED BY TRACTIONALMACULOPATY ^{[№ 12 ' 2015]}
Vitreomacular adhesion (VMA) may be asymptomatic not causing patients or decrease in visual acuity, nor any complaints. With the development of symptomatic VMA (sVMA) increasing traction from the vitreous leads to anatomical vitreomacular interface disorders. Depending on the length and severity of sVMA, from the direction and power of the vector forces vitreomacular traction, sVMA can lead to the development of different clinical forms of lesions of the macular area, including the traction maculopathy. The role of symptomatic vitreo-macular adhesion in the formation of the traction maculopathy studied. Using optical coherence tomography, the peculiarities of fixation and extent symptomatic of vitreo-macular adhesion, especially changes in the external and internal layers of the retina. In the study of 185 patients with sVMA complicated by traction maculopathy, we studied the nature of fixation and linear extent of adhesion of the vitreous body. In 137 patients (74 %) revealed the length of sVMA less than 500 microns. The linear length of sVMA from 500 to 1500 microns was observed in 18 patients. The length of sVMA more than 1 500 microns was diagnosed in 30 patients. The analysis of the nature of intraretinal changes in the combination of symptomatic of vitreo-macular adhesion and vitreo-papillary adhesion. Thus, our studies allowed us to identify three groups of vitreo-macular adhesion of different morphological configurations and linear length. The features determined the character of changes in the macular profile, characteristics and timing of the development of changes in the retinal macular area.

Stebnev S.D., Stebnev V.S., Malov V.M.
CHROMOVITRECTOMY OF SYMPTOMATIC VITREO-MACULAR ADHESIONCOMPLICATED BY EARLY STAGES OF PRIMARY FULL-THICKNESS MACULAR HOLES ^{[№ 12 ' 2015]}
Chromovitrectomy — modern section of vitreoretinal surgery involving the use during surgery endovitreal dyes for better visualization of the vitreous, preretinal and retinal structures. This technology involves the selective recruitment endovitreal dyes for staining structures of the posterior segment of the eye, which creates a useful contrast edges of the removed structures, extends the identification of the true boundaries of the pathological membranes, improves the visualization of the underlying internal limiting membrane, allows you to operate on patients at earlier stages of the disease, and with less injuries. Central pathogenetic role in the development of primary full-thickness macular hole is traction symptomatic effects of vitreo-macular adhesion (sVMA) on foveolar region. Studied the clinical efficacy of chromovitrectomy in the surgery of symptomatic vitreo-macular adhesion, complicated by primary full-thickness macular hole in the early stages of its formation in 42 patients. The patients age from 46 to 72 years (average of 64.5 m± 3.2 m). Women — 31 (74 %), men — 11 (26 %). In 23 patients primary full-thickness macular hole was classified as stage I, 19 — II stage. Using technology chromovitrectomy may guaranteed eliminate symptomatic of vitreo-macular adhesion. All 42 patients with this disease who were under surveillance, was able to eliminate symptomatic of vitreo-macular adhesion and to achieve primary closure of full thickness macular holes. The use of technology chromovitrectomy symptomatic of vitreo-macular adhesion, complicated by primary full-thickness macular hole, allows to obtain a high anatomical and functional results that provides a basis to apply active surgical tactics in the early stages of primary full-thickness macular hole.

Malov V.M., Eroshevskaya E.B., Malov I.V., Gorbunov A.E.
MODIFIED CORNEOSCLERAL TUNNEL ACCESS DURING PHACOEMULSIFICATION OF CATARACT ^{[№ 12 ' 2014]}
Comparative analysis of the results of phacoemulsification cataract showed that the proposed corneoscleral incision reduces the likelihood of induced astigmatism compared with traditional access operation in patients with pseudoexfoliation syndrome.

Malov V.M, Eroshevskaya E.B., Malov I.V., Osipova T.A.
THE RESULTS OF THE INTRACAPSULAR CATARACT EXTRACTION IN PATIENTS OPERATED OPEN-ANGLE GLAUCOMA WITH PARTIAL LENS ^{[№ 4 ' 2013]}
There were investigated the results of the offered method of lens subluxation intraocular extraction in patients operated open-angle glaucoma. The proposed technology does not provide for the use of additional tools and is aimed at the preservation of the vitreous membrane that allows to reduce considerably the risk of severe complications of cataract surgery.

Osipova T.A., Eroshevskaya E.B., Malov I.V.
COMPARATIVE RESULTS OF SURGICAL TREATMENT METHODS OF PATIENTS WITH LENS SUBLUXATION ^{[№ 4 ' 2013]}
There had been carried out the comparative analysis of the surgical treatment results of patients with lens subluxation and preudoexfoliation syndrome according traditional and the presented technologies. The developed methods of intracapsular extraction of lens subluxation allows considerably rise the treatment efficiency of patients and reduce the risk of heavy operative and postoperative complications.

Stebnev V.S., Malov V.M., Stebnev S.D.
THE RESULTS OF COMBINED SURGERY PATIENTS WITH CATARACT AND IDIOPATHIC MACULAR HOLES ^{[№ 4 ' 2013]}
In the article features and results of the surgical treatment of patients with macular holes and cataracts with application of combined surgery are studied. To all patients phacoemulsification with IOL implantation was performed. Then microinvasive 25+ Gauge valved system chromovitrectomy was done. Such technic allows to achieve high anatomic and functional results in treatment of macular holes and cataract in the early and remote period of supervision. Intraoperative and postoperative complications are studied with anatomic and functional results.

Stebnev V.S., Malov V.M., Stebnev S.D.
THE RESULTS OF VITREORETINAL FOVEOSHIZIS SURGERY ^{[№ 12 ' 2012]}
Clinical research of 3 patients with myopic foveoshizis after vitreoretinal surgery. 3 port vitrectomy 25-gauge was performed to all patients. Posterior hyaloids membrane and internal limited membrane were removed with Brilliant Blue G. All operations were finished with oil tamponade. The effectiveness off retina-vitreal surgery is shown, which helps to cure all patients with foveashizis.

Malov I.V., Malov V.M., Eroshevskaya E.B.
TO THE QUESTION OF SURGICAL TREATMENT OF OPHTHALMOHYPERTENSIONAL COMPLICATIONS OF PATIENTS WITH SENILE CATARACT ^{[№ 13 ' 2004]}

Stepanov V.K., Malov V.M., Glazunova N.I.
COMPLEX APPROACH TO THE TREATMENT OF SUPPURATIVE INVOLVEMENT OF CORNEA ^{[№ 13 ' 2004]}