Abstract
In case of regmatogenic retinal detachment, the main point is the formation of a strong barrier between the chambers of the eye using intraocular lenses, including in case of combined pathology, and in particular in the absence of the possibility of implanting a lens into the capsular bag. The distinctive features of the lens location relative to the limb and cornea were identified during a comparative analysis of the position of intraocular lenses in patients with articulation and transcleral fixation using optical coherence tomography. The purpose of the study was to conduct a comparative analysis of the position of intraocular lenses in patients with transcleral fixation and in patients with artificial in the conditions of silicone tamponade of the vitreal cavity. Material and methods. The studies were carried out on 64 eyes of patients aged 56 to 75 years with transcleral fixation and artifaction with silicone tamponade of the vitreal cavity. Results. In patients with transcleral fixation, the distance from the limb to the optical edge of the lens was equal to 4.31 ± 0.82 mm, in the group with articulation 4.11 ± 1.03 mm. The absence of a statistically significant difference indicates the position of the intraocular lens when performing transcleral fixation identical to the location of the lens in the capsule bag. The indicator of the distance from the cornea to the edge of the intraocular lens in patients with transcleral fixation corresponded to 3.72 ± 1.54 mm, in patients with articulation corresponded to 3.21 ± 1.48 mm, while this indicator in the group with transcleral fixation was more variable. Conclusion. In the conditions of silicone tamponade of the vitreal cavity, the technique of transcleral fixation of intraocular lenses provides a single-format position of the lens with artificial patients. Keywords: intraocular lens, transcleral fixation, silicone tamponade
Published Version
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