Клинические случаи факоэмульсификации катаракты у пациентов с крайними степенями аметропий

Abstract

Purpose. To evaluate the features of the phacoemulsification technique with IOL implantation and clinical and functional results in patients with extreme eyeball length. Material and methods. There were 2 patients under observation: a 70-year-old patient with a diagnosis of OU: Complicated cataract. High myopia. Amblyopia moderate. Primary open-angle glaucoma 2A. Visual acuity at admission vis OD = 0.001 n.c.; vis OS = 0.04 sph +2.00 D cyl –2.50 D ax 105° = 0.1. The second patient, aged 65, was diagnosed with OU: Complicated cataract. Hyperopia of a high degree. Amblyopia moderate. Primary open-angle glaucoma 1A, operated. Visual acuity at admission OD = 0.01 sph +11.00 D cyl +1.50 D ax 110° = 0.2; OS = 0.01 sph +11.00 D cyl +1.00 D ax 105 = 0.1. Both patients underwent phacoemulsification with Asphina IOL implantation (Carl Zeiss Meditec AG, Germany): the right eye of patient N 1 and the left eye of patient N 2. Results. A month after the operation, the uncorrected visual acuity in the first patient was Vis OD = 0.15. In the second patient, a month after the operation, visual acuity was Vis OS = 0.04 sph (+) 11.0 D = 0.2. Both patients are subjectively satisfied with the obtained visual functions. Conclusion. Thus, this clinical case demonstrates a very successful implementation of cataract phacoemulsification with IOL implantation in patients with extreme eyeball length. Keywords: microphthalmos, high myopia, high degree ametropia, complicated cataract, cataract phacoemulsification.