pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2020-3-53-56pmj-492Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESОсложнения различных методик имплантации интраокулярных линз при хирургическом лечении врожденной катарактыComplications of various methods for implanting intraocular lenses in the surgical treatment of congenital cataracthttps://orcid.org/0000-0003-2440-6059ФедяшевГ. А.FediashevG. A.

д-р мед. наук, профессор кафедры офтальмологии и оториноларингологии;

главный врач,

690088, г. Владивосток, ул. Борисенко, 100е

MD, PhD, professor;

head physician,

100e Borisenko St., Vladivostok, 690080

fediashev@mail.ruКасаткинаИ. С.KasatkinaI. S.

врач,

690088, г. Владивосток, ул. Борисенко, 100е

MD, physician,

100e Borisenko St., Vladivostok, 690080

irkis-med@yandex.ruМакаревичЕ. С.MakarevichE. S.

ординатор кафедры офтальмологии и оториноларингологии,

690002, г. Владивосток, пр-т Острякова, 2

MD, resident, Department of Ophthalmology and Otorhinolaryngology, 

2 Ostryakova Ave., Vladivostok, 690002

katyuha-m@mail.ruТихоокеанский государственный медицинский университет; Приморский центр микрохирургии глазаРоссияPacific State Medical University; Primorskiy Center of Eye MicrosurgeryRussian FederationПриморский центр микрохирургии глазаРоссияPrimorskiy Center of Eye MicrosurgeryRussian FederationТихоокеанский государственный медицинский университетРоссияPacific State Medical UniversityRussian Federation202028092020035356Copyright © Федяшев Г.А., Касаткина И.С., Макаревич Е.С., 20202020Федяшев Г.А., Касаткина И.С., Макаревич Е.С.Fediashev G.A., Kasatkina I.S., Makarevich E.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/492Цель

Цель: сравнение частоты развития осложнений при различных методиках имплантации интраокулярных линз (ИОЛ) в хирургии врожденной катаракты (ВК).

Материал и методы

Материал и методы. Оценены результаты хирургического лечения 16 детей млад‑ ше 5 лет с двусторонней ВК. В каждом случае на одном глазу имплантация ИОЛ выполнена по технологии «оптический захват» (1-я группа наблюдения), на втором глазу линза имплантировалась после капсулорексиса и удаления передних отделов стекловидного тела (2-я группа наблюдения).

Результаты

Результаты. Фибринозно-пластические осложнения в послеопе‑ рационном периоде чаще регистрировались во 2-й группе, чем в 1-й (5 и 1 глаз, соответственно). Эпителиальная пролиферация во 2-й группе развилась в 10, в 1-й – в 5 глазах.

Заключение

Заключение. В хирургии ВК имплантация ИОЛ по технологии «оптический захват» – эффективный способ профилактики эпителиальной пролиферации и помутнений, снижающих остроту зрения в послеоперационном периоде. Данный способ безопасен в отношении воспалительных фибринознопластических реакций и позволяет сохранить нормальное анатомическое взаиморасположение витрео-ретинальных структур растущего глаза. 

Objective

Objective: Comparison of complications development rate in various methods for implanting intraocular lenses (IOLs) in the surgical treatment of congenital cataract.

Methods

Methods: The results of surgical treatment of 16 children under 5 years old with bilat‑ eral congenital cataract were assessed. In each case, IOL was implanted according to the technique “optic capture” into one eye (the 1st group of study); the lens was implanted after capsulorrhexis and extraction of anterior segments of vitreous body into the second eye (the 2nd group of study).

Results

Results: Fibrinoplastic complications in the postoperative period were more often recorded in the 2nd group than in the 1st one (5 and 1 eyes, respectively). Epithelial proliferation in the 2nd group developed in 10, in the 1st group – in 5 eyes.

Conclusions

Conclusions: In the surgical treatment of congenital cataract, implantation of IOLs according to the technique “optic capture” is an effective way of epithelial proliferation and opacity prevention reducing visual acuity in postoperative period. This method is safe regarding inflammatory fibrinoplastic reactions and allows maintaining normal anatomical position of the vitreoretinal structures of the growing eye. 

детиврожденная катарактаинтраокулярные линзывитрэктомияоптический захватchildrencongenital cataractintraocular lensesvitrectomyoptic captureReferencesWu X, Long E, Lin H, Liu Y. Prevalence and epidemiological characteristics of congenital cataract: A systematic review and meta-analysis. Sci Rep. 2016;6:28564. doi: 10.1038/srep28564Wu X, Long E, Lin H, Liu Y. Prevalence and epidemiological characteristics of congenital cataract: A systematic review and meta-analysis. Sci Rep. 2016;6:28564. doi: 10.1038/srep28564Першин К.Б., Пашинова Н.Ф., Черкашина А.В. Некоторые современные аспекты лечения катаракты у детей. Вопросы современной педиатрии. 2012;11(2):68–73.Pershin PB, Pashinova NF, Cherkashina AV. Some modern aspects of cataract treatment in children. Russian Journal of Current Pediatrics. 2012;11(2):68–73 (In Russ).Круглова Т.Б., Егиян Н.С., Кононов Л.Б. Хирургическая тактика экстракции врожденной катаракты при первичной имплантации ИОЛ у детей с патологией задней капсулы хрусталика. Вестник Оренбургского государственного университета. 2013;4:153–5.Kruglova TB, Egiyan NS, Kononov LB. Surgical tactics for the extraction of congenital cataracts during primary IOL implantation in children with pathology of the posterior lens capsule. Bulletin of the Orenburg State University. 2013;4:153–5 (In Russ).Zhou HW, Zhou F. A meta-analysis on the clinical efficacy and safety of optic capture in pediatric cataract surgery. Int J Ophthalmol. 2016;9(4):590–6.Zhou HW, Zhou F. A meta-analysis on the clinical efficacy and safety of optic capture in pediatric cataract surgery. Int J Ophthalmol. 2016;9(4):590–6.Федяшев Г.А. Способ повышения ротационной стабильности торических интраокулярных линз. Тихоокеанский медицинский журнал. 2015;3:26–8.Fediashev GA. A method of increasing the rotational stability of toric intraocular lenses. Pacific Medical Journal. 2015;3:26–8 (In Russ).Raina UK, Gupta V, Arora R, Mehta DK. Posterior continuous curvilinear capsulorhexis with and without optic capture of the posterior chamber intraocular lens in the absence of vitrectomy. J Pediatr Ophthalmol Strabismus. 2003;39(5):278–87.Raina UK, Gupta V, Arora R, Mehta DK. Posterior continuous curvilinear capsulorhexis with and without optic capture of the posterior chamber intraocular lens in the absence of vitrectomy. J Pediatr Ophthalmol Strabismus. 2003;39(5):278–87.Vasavada AR, Trivedi RH, Singh R. Necessity of vitrectomy when optic capture is performed in children older than 5 years. J Cataract Refract Surg. 2001;27(8):1185–93.Vasavada AR, Trivedi RH, Singh R. Necessity of vitrectomy when optic capture is performed in children older than 5 years. J Cataract Refract Surg. 2001;27(8):1185–93.Plager DA, Lynn MJ, Buckley EG, Wilson ME, Lambert SR. Infant Aphakia Treatment Study Group. Complications in the first 5 years following cataract surgery in infants with and without intraocular lens implantation in the Infant Aphakia Treatment Study. Am J Ophthalmol. 2014;158(2):892–8.Plager DA, Lynn MJ, Buckley EG, Wilson ME, Lambert SR. Infant Aphakia Treatment Study Group. Complications in the first 5 years following cataract surgery in infants with and without intraocular lens implantation in the Infant Aphakia Treatment Study. Am J Ophthalmol. 2014;158(2):892–8.De Groot V, Vrensen GF, Willekens B, Van Tenten Y, Tassignon MJ. In vitro study on the closure of posterior capsulorrhexis in the human eye. Investig Ophthalmol Vis Sci. 2003;44(5):2076–83.De Groot V, Vrensen GF, Willekens B, Van Tenten Y, Tassignon MJ. In vitro study on the closure of posterior capsulorrhexis in the human eye. Investig Ophthalmol Vis Sci. 2003;44(5):2076–83.Gimbel HV. Posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens to prevent secondary opacification in pediatric cataract surgery. J Cataract Refract Surg. 1997;23(1):652–6.Gimbel HV. Posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens to prevent secondary opacification in pediatric cataract surgery. J Cataract Refract Surg. 1997;23(1):652–6.Vasavada AR, Vasavada V, Shah SK, Trivedi RH, Vasavada VA, Vasavada SA, et al. Postoperative outcomes of intraocular lens implantation in the bag versus posterior optic capture in pediatric cataract surgery. J Cataract Refract Surg. 2017;43(9):1177–83.Vasavada AR, Vasavada V, Shah SK, Trivedi RH, Vasavada VA, Vasavada SA, et al. Postoperative outcomes of intraocular lens implantation in the bag versus posterior optic capture in pediatric cataract surgery. J Cataract Refract Surg. 2017;43(9):1177–83.Боброва Н.Ф., Скрипниченко З.М. Катаракты токсические, врожденные, вторичные. Одесса: Феникс, 2017:320.Bobrova NF, Skripnichenko ZM. Toxic, congenital, secondary cataracts. Odessa: Fenix; 2017:320 (In Russ).Yangzes S, Kaur S, Gupta PC, Sharma M, Jinagal J, Singh J, Ram J. Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life. Eur J Ophthalmol. 2019;29:304–8.Yangzes S, Kaur S, Gupta PC, Sharma M, Jinagal J, Singh J, Ram J. Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life. Eur J Ophthalmol. 2019;29:304–8.Hoyt CS, Nickel B. Aphakic cystoid macular edema: Occurrence in infants and children after transpupillary lensectomy and anterior vitrectomy. Arch Ophthalmol. 1982;100:746–9.Hoyt CS, Nickel B. Aphakic cystoid macular edema: Occurrence in infants and children after transpupillary lensectomy and anterior vitrectomy. Arch Ophthalmol. 1982;100:746–9.Sukhija J, Kaur S, Ram J, Yangzes S, Madan S, Jinagal J. Outcome of various hydrophobic acrylic intraocular lens implantations in children with congenital cataract. Eur J Ophthalmol. 2017;27:711–5.Sukhija J, Kaur S, Ram J, Yangzes S, Madan S, Jinagal J. Outcome of various hydrophobic acrylic intraocular lens implantations in children with congenital cataract. Eur J Ophthalmol. 2017;27:711–5.

The authors declare that there are no conflicts of interest present.