Клинический случай лечения ребенка с врожденной патологией радужки и хрусталика

Abstract

Relevance. Congenital aniridia is a rare ocular malformation. Its occurrence in the world ranges from 1: 40,000 to 1: 96,000. Purpose. To study clinical and functional characteristics of both eyes and the effectiveness of treatment in a child with congenital aniridia, congenital cataract and lens subluxation. Material and methods. The article presents the results of the clinical case of the child T., born in 2006, diagnosed with: OU – Subluxation of the lens congenital III degree. Cataract congenital intrauterine polymorphic. Aniridia is congenital hereditary. Glaucoma congenital intrauterine initial subcompensated (m). Myopia congenital high with astigmatism. Nystagmus horizontal fine-caliber constant. Surgery was performed on both eyes – FAC + IOL + ICR with implantation of the complex «Artificial iris» + Anterior vitrectomy. The article presents an analysis of a clinical case with familial congenital aniridia in a child in order to increase the awareness of treating ophthalmologists about the complexity and systemic manifestations of this congenital malformation and the need for a systematic approach to its treatment. Results. Surgery and postoperative period without complications. Visual acuity after surgery was – OD – 0.08 w/c cyl (+) 1.0 D = 0.2; OS – 0.1 N/c. The position of the Artificial Iris complex is correct. IOL in the back chamber, in the capsule bag. A month after the operation, the visual functions are preserved, the IOP is compensated, the horizontal nystagmus has decreased Conclusion: • The use of the «Artificial iris» complex with a one-stage IOL implantation to correct the elimination of congenital aniridia makes it possible to achieve high cosmetic and functional results. • The child and the child’s parents are satisfied with the cosmetic effect after the operation. • A child after undergoing correction of aniridia with the «Artificial Iris» unit requires constant dynamic observation by an ophthalmologist. • It is necessary to take into account the high risk of postoperative ophthalmic hypertension in the child and the possibility of repeated interventions. Key words: congenital aniridia, congenital cataract, lens subluxation, cataract phacoaspiration with IOL implantation, intracapsular ring, Artificial iris complex