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The complicated postoperative ametropia correction in challenging situations. Supplementary pseudophakic IOL implantation

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Relevance : the accurate refractive outcome is the obligatory criterion for the quality of cataract phacoemulsification with IOL implantation, but followed corneal interventions performed earlier residual ametropia still occurs in pseudophakic eye. Purpose : the clinical outcome analysis of the aspheric supplementary pseudophakic IOL implantation in correcting the residual ametropia of high and average degree in patients undergone keratorefractive surgery. Materials and methods : the investigation included 4 patients earlier operated on for high myopia and cataract. Patients were implanted with the pseudophakic IOLs “Sulcoflex” and Human Optics Silicone IOL Aspira 3P - sPBY. Results and discussion : the intra- and postoperative periods were uneventful. The achieved refraction coincided with the target one. The patients were fully satisfied with the result. Conclusions : 1) pseudophakic IOL implantation into the ciliary sulcus is easy and safe. No any specific complications followed the pseudophakic IOL implantation; 2) pseudophakic IOL implantation successfully corrects the postoperative ametropia, being the surgical choice in such cases; 3) the comparative analysis of the results of hydrophilic acrylic and silicone pseudophakic IOL implantation showed no clinically significant difference between functional surgical results, stable IOL position in the ciliary sulcus within the quite long postoperative period.

Keywords

ophthalmology; postoperative ametropia; pseudophakic IOL implantation; cataract

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DOI

10.20310/1810-0198-2017-22-4-739-744

UDC

617.7

Pages

739-744

References

1. Kasyanov A.A. Vtorichnaya implantatsiya dopolnitel'noy IOL dlya korrektsii refraktsionnykh oshibok intraokulyarnoy korrektsii afakii [Secondary implantation of supplementary IOL to correct the refractive errors of intraocular aphakia correction]. Oftal'mologiya – Ophthalmology, 2004, no. 1, pp. 24-28. (In Russian). 2. Bikbov M.M., Bikbulatova A. A., Mannanova R.F. Opyt primeneniya asfericheskikh i toricheskikh dobavochnykh intraokulyarnykh linz Sulcoflex [The experience of using aspheric and toric supplementary intraocular lens Sulcoflex]. Sbornik nauchnykh statey 13 nauchno-prakticheskoy konferentsii «Sovremennye tekhnologii kataraktal'noy i refraktsionnoy khirurgii» [A Collection of Scientific Articles of 13 Scientific and Practical Conference “Modern Technologies of Cataract and Refractive Surgery]. Moscow, 2012, pp. 36-40. (In Russian). 3. Temirov N.E., Pogorelova V.V. Korrektsiya gipermetropii vysokoy stepeni poliartifakiey [Correction of high-degree hyperopia by multiple pseudophakia]. Vestnik oftal'mologii – Annals of Ophthalmology, 2007, no. 6, pp. 29-32. (In Russian). 4. Malyugin B. E., Morozova T. A. Istoricheskie aspekty i sovremennoe sostoyanie problemy mul'tifokal'noy intraokulyarnoy korrektsii [A review of historical aspects and modern trends in multifocal intraocular correction]. Oftal'mokhirurgiya – Ophthalmosurgery, 2004, no. 3, pp. 23-29. (In Russian). 5. Linnik L.F., Peretrukhin A.V., Linnik E.A., Amer S. Implantatsiya dopolnitel'noy IOL dlya korrektsii ostatochnoy gipermetropii u patsientov s artifakiey [Supplementary IOL implantation for correcting residual hypermetropia in patients with pseudophakia]. Oftal'mokhirurgiya – Ophthalmosurgery, 1999, no. 4, pp. 24-30. (In Russian). 6. Kosenko T.G., Kosenko S.M., Klimova O.N. Nash opyt implanta-tsii dopolnitel'noy psevdofakichnoy IOL Rayner Sulcoflex [Our experience of additional pseudophakia IOL Rayner Sulcoflex implantation]. Sbornik nauchnykh statey 14 nauchno-prakticheskoy konferentsii «Sovremennye tekhnologii kataraktal'noy i refraktsionnoy khirurgii»: [A Collection of Scientific Articles of 14 Scientific and Practical Conference “Modern Technologies of Cataract and Refractive Surgery]. Moscow, 2013, pp. 107-111. (In Russian). 7. Laptev B.V., Shilovskikh O.V., Fechin O.B. Implantatsiya dobavochnoy IOL dlya korrektsii slozhnykh vidov postoperatsionnoy ametropii – pervyy opyt [Supplementary IOL implantation for correcting complicated postoperative ametropia – forst experience]. Otrazhenie – Reflection, 2016, no. 2, pp. 73-76. (In Russian). 8. Malyugin B.E., Fedorova I.S., Antonyan S.A. Khirurgicheskaya korrektsiya presbiopii s ispol'zovaniem mul'tifokal'nykh intraokulyarnykh linz difraktsionnogo tipa [Surgical correction of presbyopia with multifocal diffractive intraocular lenses]. Vestnik oftal'mologii – Annals of Ophthalmology, 2007, no. 4, pp. 3-6. (In Russian). 9. Pershin K.B. Zanimatel'naya fakoemul'sifikatsiya. Zapiski kataraktal'nogo khirurga [Entertaining Phacoemulsification. Cataract Surgeon’s Notes]. St. Petersburg, Borey Art Publ., 2007, 133 p. (In Russian). 10. Ivolgina I.V., Fabrikantov O.L. Pervye rezul'taty implantatsii dopolnitel'noy psevdofakichnoy IOL Rayner Sulcoflex dlya korrektsii refraktsionnykh oshibok intraokulyarnoy korrektsii afakii [First outcomes of supplementary pseudophakic IOL Rayner Sulcoflex implantation for correcting refractive errors of intraocular aphakia correction]. Sbornik tezisov 10 Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem «Fedorovskie chteniya-2012»: [Theses of the 10 All-Russian International Scientific and Practical Conference “Fyodorov’s readings-2012”]. Moscow, 2012, pp. 220-221. (In Russian).

Received

2017-06-27

Section of issue

Medicine. modern achievements in ophthalmology

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