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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Main Authors: A. A. Kozhukhov, D. O. Kapranov, I. G. Ovechkin, N. I. Ovechkin
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2018-07-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/595
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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.
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spelling doaj-art-a0605a0159634f0cb91fb34a532c30b62025-08-20T02:56:17ZrusOphthalmology 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. Ovechkin3Federal institute of the professional development, Federal medical and biological agencyCity Clinical Hospital No. 13, Avtozavodsky district of the city of Nizhny NovgorodFederal institute of the professional development, Federal medical and biological agencyMoscow Research Institute of Eye Diseases named after HelmholtzРurpose. 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/595phacoemulsification of cataractintraocular lenscapsule of the lensnoncapsular aphakia
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
phacoemulsification of cataract
intraocular lens
capsule of the lens
noncapsular aphakia
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 phacoemulsification of cataract
intraocular lens
capsule of the lens
noncapsular aphakia
url https://www.ophthalmojournal.com/opht/article/view/595
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