Complications of various methods for implanting intraocular lenses in the surgical treatment of congenital cataract
https://doi.org/10.34215/1609-1175-2020-3-53-56
Abstract
Objective: Comparison of complications development rate in various methods for implanting intraocular lenses (IOLs) in the surgical treatment of congenital cataract.
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: 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: 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.
About the Authors
G. A. Fediashev
Pacific State Medical University;
Primorskiy Center of Eye Microsurgery
Russian Federation
Russian Federation
MD, PhD, professor;
head physician,
100e Borisenko St., Vladivostok, 690080
I. S. Kasatkina
Primorskiy Center of Eye Microsurgery
Russian Federation
Russian Federation
MD, physician,
100e Borisenko St., Vladivostok, 690080
E. S. Makarevich
Pacific State Medical University
Russian Federation
Russian Federation
MD, resident, Department of Ophthalmology and Otorhinolaryngology,
2 Ostryakova Ave., Vladivostok, 690002
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Review
For citations:
Fediashev G.A., Kasatkina I.S., Makarevich E.S. Complications of various methods for implanting intraocular lenses in the surgical treatment of congenital cataract. Pacific Medical Journal. 2020;(3):53-56. (In Russ.) https://doi.org/10.34215/1609-1175-2020-3-53-56
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