Хирургия осложненной катаракты и современные технологии

Abstract

Purpose. To evaluate the result of using modern technologies in cataract surgery as a way to achieve high visual functions in the presence of comorbidity and prevent the development of early and late postoperative complications Material and methods. Patient K., 64 years old, applied to MNTK MG with complaints of decreased vision in both eyes. Standard preoperative and postoperative examinations were performed. The peculiarity of the operation was that after the main stages were completed, the formed anterior capsulorhexis was removed with the help of femtolaser support, retractor hooks were installed, and an intracapsular ring was implanted. Vitreotome removed single fibers of the vitreous body in the anterior chamber. Performed cilio-capsular fixation of a three-part IOL Result. At all periods of observation, the equidistance of the IOL optics from the edge of the pupil, the absence of decentration and pseudophacodonesis were determined. There was no negative dynamics of the state of the optic nerve and retina. Postoperative examination on the 2nd day after surgery. Visual acuity: VisOS = 0.8. Autorefractometry (SE): +0.25 diopters. Average keratometry: 42.25 diopters. Pneumotonometry: 11 mm Hg. Art. Conclusion. The use of a complex of modern technologies in cataract surgery allows to reduce the risks of surgical complications, the development of early and late postoperative complications and provide optimal optical conditions for the implementation of visual functions. Key words: cilio-capsular fixation, intraocular lens, pseudoexfoliative syndrome, lens subluxation