Abstract
Purpose: to determine the optimal size of anterior femtosecond capsulorhexis for stable capsular bag fixation in case of lens subluxation using iridocapsular retractors during cataract phacoemulsification with IOL implantation. Material and methods. 86 patients (86 eyes) with lens subluxation of I and II degrees according to Pashtaev's classification were examined. All patients were divided into three groups. Group I consisted of 28 eyes, group II – 36 eyes, group III – 22 eyes. In group I femtosecond capsulorhexis with a diameter of 5.5 mm was performed, in group II – with a diameter of 5.0 mm, and in group III – 4.5 mm. All patients underwent phacoemulsification with IOL implantation using iridocapsular retractors and a capsular ring. Results. The highest percentage of surgical complications 5.6 % was observed in group I, the average – 4.0 % in group III, the lowest – 1.3 % in group II. Conclusion. The optimal size of capsulorhexis for stable capsular bag fixation and comfortable phacoemulsification is 5.00 mm capsulorhexis. Keywords: capsulorhexis, iridocapsular retractors, capsular bag, lens.
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