Способ фиксации капсулы хрусталика с внутрикапсульным кольцом в одной точке при децентрации ИОЛ в позднем послеоперационном периоде на фоне псевдоэксфолиативного синдрома

Abstract

Purpose. To assess the clinical effectiveness of the method of fixing the lens capsule with an intracapsular ring at one point in IOL decentration in the late postoperative period against the background of pseudoexfoliative syndrome (PES). Methods. Patient A., 71 years old. He was admitted with a diagnosis of OD – pseudophakia, decentration of the IOL, PES; OS – artifakia, PES. In the anamnesis: 5 years ago, cataract phacoemulsification with intracapsular ring and IOL implantation in the right eye. Examination: visometry, perimetry, autorefractometry, pneumotonometry. In order to center the IOL at the OD, ab interno fixation of the lens capsule with the intracapsular ring was performed to the sclera at one point in the region of the ciliary sulcus using a suture needle with a double thread and a guide needle. The suture thread on the intracapsular ring was fixed with a «cow hitch». Results. On the 2nd day after surgery, visual acuity without correction was 0.7. On examination, the right eye is calm, the cornea is transparent, the anterior chamber is of medium depth, the moisture of the anterior chamber is transparent, the pupil is round 3 mm, centered, the IOL is in the correct position. Visual acuity did not change throughout the entire period of observation, intraocular pressure remained compensated for the entire period of observation of the patient. Conclusion. This example demonstrates the feasibility of using an intracapsular ring during phacoemulsification against the background of PES and the clinical effectiveness of the method of fixing the lens capsule with an intracapsular ring at one point in IOL decentration in the late postoperative period. Key words: intracapsular ring, pseudoexfoliative syndrome, «cow hitch»