Results of phacoemulsification of cataract complicated by lens subluxation depending on the ring setting method

Authors

  • N. G. Zavgorodnjaja
  • A. S. Sarzhevsky

DOI:

https://doi.org/10.14739/2310-1210.2015.1.38739

Keywords:

Phacoemulsification, Cataract, Lens Subluxation, Postoperative, Intraoperative Complication

Abstract

Actuality. Cataract extraction complicated by zonular weakness remains one of the urgent problems of eye microsurgery.

Aim. To increase the efficiency of cataract surgery complicated by lens subluxation  through comparative analysis of frequency and structure of intra- and postoperative complications, as well as the functional  results of surgical treatment of patients depending on the ring setting method.

Methods and results. 91 patients (93 eyes) were examined, who were operated on complicated cataract, and were divided into 2 groups depending on the method of ring setting.

Conclusion. It was established that the offered method of implant capsular ring gives the opportunity to reduce the length of patients’ treatment by 2,6 day, to decrease of  28,43% for complications, and also to avoid such heavy operating complications, as a vitreous prolapse, displacement of the eye lens fragments in a vitreous body, dug up capsule bag.

References

Aznabaev, B. M. (2005) Ul`trazvukovaya khirurhiya katarakty [Ultrasonic cataract surgery]. Moscow: Аvgust Borg [in Russian].

Vitovskaya, O. P. (2013). Strategiya ukrepleniya zdorov`ya (Health promotion) v oftal`mologii [Health Strategy (Health promotion) in ophthalmology]. Klinicheskaya oftalmologiya, 14(3), 88–92 [in Russian].

Ioshin, I. E`. & Tagieva, R. R. (2005). Fakoe`mul`sifikatciya katarakty s vnutrikapsulnoj implantaciej IOL pri obshirnykh otryvakh volokon cinnoovoj svyazki [Intracapsular cataract phacoemulsification with IOL implantation in extensive breakaways Zinn fiber bundles]. Oftal`mokhirurgiya, 1, 18–23 [in Russian].

Іsufaj, Е`. (2010) Intraokulyarnaya korrekciya afakii pri nesostojatel`nosti svyazochno-kapsul`nogo apparata khrustalika. (Avtoref. dis… dokt. med. nauk) [Intraocular correction of aphakia in insolvency capsular ligamentous apparatus of the lens Dr. med. sci. diss.]. Moscow. [in Russian].

Malyugin, B. E., Golovin, A. V., Uzunyan, D. G., & Isaev, M. A. (2011). Osobennosti tekhniki i rezul`taty mikroinvazivnoj fakoe`mul`sifikacii s ispol`zovaniem original`noj modeli vnutrikapsul`nogo kol`tsa u pacientov s obshirnymi defektami svyazachnogo apparata khrustalika [Microincisional phacoemulsification with the modified capsular tension ring in patients with zonular dialysis]. Oftal`mokhirurgiya, 3, 22–26 [in Russian].

Pavlyuchenko, K. P., & Mogilevskij, S. Yu. (2010). Osobennosti kombinirovannogo lecheniya bol`nykh kataraktoj v sochetanii s pervichnoj glaukomoj [Features of the combined treatment of patients with cataract in conjunction with primary glaucoma]. Sovremennye dostizheniya v ofta`lmokhirurgii. Proceedings of the Scientific and Practical Conference with international participation, (pp. 54–55). Kyiv [in Ukrainian].

Pashtaev, N. P. (2006). Khirurgiya podvyvikhnutogo i vyvikhnutogo v steklovidnoe telo khrustalika [Surgery subluxation and dislocated lens into the vitreous]. Cheboksary: GOU IUV [in Russian].

Assia, E. I., Ton, Y., & Michaeli, A. (2009). Capsule anchor to manage subluxated lenses: initial clinical experience. Journal Cataract Refract Surg, 35, 1372–1379. doi: 10.1016/j.jcrs.2009.02.046.

Kopsachilis, N., & Carifi, G. (2014). Phacoemulsification using 8 flexible iris hooks in patient with a short eye, small pupil, and phacodonesis. Journal Cataract Refract Surg, 40(9), 1408–1411. doi: 10.1016/j.jcrs.2014.07.009.

Sergienko, N. M., Kondratenko, Y. N., Yakimov, A. K. (2009) Capsule fixation device for cataract surgery. Eur. Journal. Ophthalmol., 19(1), 143–146.

Shingleton, B. J., Marvin, A. C., Heier, J. S., O’Donoghue, M. W., Laul, A., Wolff, B., et al. (2010). Pseudoexfoliation: high risk factors for zonule weakness and concurrent vitrectomy during phacoemulsification. Journal Cataract Refract Surg, 36, 1261–1269. doi: 10.1016/j.jcrs.2010.02.014.

Siddiqui, S. N., Shaikh, Z. A., & Khan, A. (2012) Visual outcome and complications after modified Cionni endocapsular tension ring and intraocular lens implantation in eyes with subluxated lenses. Pak Journal Med Sci., 28(4), 639–642.

Wilczynski, M., Wierzchowski, T., Synder, A., & Omulecki, W. (2013). Results of phacoemulsification with Malyugin Ring in comparison with manual iris stretching with hooks in eyes with narrow pupil. Eur Journal Ophthalmol, 23, 196–201. doi: 10.5301/ejo.5000204.

Werner, L., Zaugg, B., Neuhann, T., Burrow, M., & Tetz, M. (2012). In-the-bag capsular tension ring and intraocular lens subluxation or dislocation; a series of 23 cases. Ophthalmology, 119, 266–271. doi: 10.1016/j.ophtha.2011.08.016.

How to Cite

1.
Zavgorodnjaja NG, Sarzhevsky AS. Results of phacoemulsification of cataract complicated by lens subluxation depending on the ring setting method. Zaporozhye Medical Journal [Internet]. 2015Feb.9 [cited 2024Nov.13];17(1). Available from: http://zmj.zsmu.edu.ua/article/view/38739

Issue

Section

Original research