Офтальмохирургия. 2015; : 6-11
О МНОГООБРАЗИИ ИЗМЕНЕНИЙ В ОБЛАСТИ ЗАДНЕЙ КАПСУЛЫ ХРУСТАЛИКА ПОСЛЕ ФАКОЭМУЛЬСИФИКАЦИИ С ИМПЛАНТАЦИЕЙ РАЗЛИЧНЫХ ВИДОВ ИОЛ
https://doi.org/undefinedАннотация
РЕФЕРАТ
Цель. Выявить различные формы вторичных изменений в капсуле хрусталика после факоэмульсификации катаракты с имплантацией различных видов ИОЛ.
Материал и методы. Исследование проводили путем сплошного исследования 673 пациентов после операции факоэмульсификации с имплантацией различных видов ИОЛ, выполнявшихся на базе глазного центра «Восток-Прозрение». Из них женщин было 409, мужчин – 264. Возраст пациентов колебался от 25 до 87 лет (в среднем 67,2±12,1 года). У всех пациентов проводили общеклиническое офтальмологическое обследование. Срок наблюдения составил до 5 лет после операции.
Результаты. Всего было выявлено 70 случаев изменений в области задней капсулы хрусталика (10,4%). Срок выявления этих изменений после операции факоэмульсификации составлял от 6 мес. до 5 лет.
Заключение. Нами описаны основные виды вторичных изменений задней капсулы хрусталика после имплантации современных видов ИОЛ. Полученная информация может помочь хирургам выбрать оптимальный тип ИОЛ и подход к профилактике вторичных изменений области «хрусталиковая сумка – ИОЛ». Выявлено, что гидроз хрусталиковой сумки является легко устранимым осложнением с помощью YAG-лазерной пункции и последующей дисцизии задней капсулы.
Список литературы
1. Анисимов С.И. Сравнительная оценка материалов для эластичных переднекамерных ИОЛ: Автореф. дис. … канд. мед. наук. – М., 1986. – 25 с.
2. Анисимова С.Ю., Анисимов С.И., Ларионов Е.В. Хирургия глаукомы. – М., 2012. – 183 с. 3. Сороколетов Г.В., Зуев В.К., Туманян Э.Р. и др. Частота развития вторичной катаракты в артифакичных глазах с современными моделями заднекамерных ИОЛ при осевой миопии // Офтальмохирургия. – 2013. – № 2. – С. 28-31.
3. Терещенко Ю.А., Сорокин Е.Л., Белоноженко Я.В. Выяснение взаимосвязей между имплантируемыми интраокулярными линзами из различных материалов и вариантами формирования помутнений задней капсулы хрусталика после факоэмульсификации возрастной катаракты // Офтальмохирургия. – 2014. – № 4. – С. 28-32.
4. Auffarth G., Brezin A., Caporossi A. Et al. Comparison of Nd: YAG capsulotomy rates following phacoemulsification with implantation of PMMA, silicone, or acrylic intra-ocular lenses in four European countries // Ophthalmic Epidemiol. – 2004. – Vol. 11, № 4. – P. 319-329.
5. Bhattacharjee H., Bhattacharjee K., Bhattacharjee P. et al. Liquefied after cataract and its surgical treatment // Indian J. Ophthalmol. – 2014. – Vol. 62, № 5. – P. 580-584.
6. Brooks A.M., Drewe R.H., Grant G.B. Crystalline nature of the iridescent particles in hypermature cataracts // Br. J. Ophthalmol. – 1994. – Vol. 78, № 7. – P. 581-582.
7. Fine I.H. Cortical cleaving hydrodissection // J. Cataract Refract. Surg. – 1992. – Vol. 18, № 5. – P. 508-512.
8. Flocks M., Littwin C.S., Zimmerman L.E. Phacolytic glaucoma: a clinicopathologic study of one hundred thirty-eight cases of glaucoma associated with hypermature cataract // Arch. Ophthalmol. – 1955. – Vol. 54, № 1. – P. 37-45.
9. Hayashi K., Hayashi H., Nakao F., Hayashi F. Changes in posterior capsule opacification after poly (methyl methacrylate), silicone, and acrylic intraocular lens implantation // J. Cataract Refract. Surg. – 2001. – Vol. 27, № 6. – P. 817-824.
10. Heatley C.J., Spalton D.J., Kumar A. et al. Comparison of posterior capsule opacification rates between hydrophilic and hydrophobic single-piece acrylic intraocular lenses // J. Cataract Refract. Surg. – 2005. – Vol. 31, № 4. – P. 718-724.
11. Hollick E.J., Spalton D.J., Ursell P.G. et al. The effect of polymethylmethacrylate, silicone, and polyacrylic intraocular lenses on posterior capsular opacification 3 years after cataract surgery // Ophthalmology. – 1999. – Vol. 106, № 1. – P. 49-55.
12. Horatanaruang O., Saranyakoob W. Late postoperative capsular block syndrome // J. Med. Assoc. Thai. – 2005. – Vol. 88. – P. 151-154.
13. Joshi R.S. Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract // Clin. Ophthalmol. – 2013. – Vol. 7. – P. 1605.
14. Kugelberg M., Wejde G., Jayaram H. et al. Posterior capsule opacification after implantation of a hydrophilic or a hydrophobic acrylic intraocular lens: one-year follow-up // J. Cataract Refract. Surg. – 2006. – Vol. 32, № 10. – P. 1627-1631.
15. Masket S. Truncated edge design, dysphotopsia, and inhibition of posterior capsule opacification // J. Cataract Refract. Surg. – 2000. – Vol. 26, №. 1. – P. 145-147.
16. McQueen B.R., Margo C.E. Capsular bag distention syndrome after combined cataract-lens implant surgery and Ahmed valve implantation // Am. J. Ophthalmol. – 2001. – Vol. 132, № 1. – P. 109-110.
17. Miyake K., Ota I., Miyake S., Horiguchi M. Liquefied aftercataract: a complication of continuous curvilinear capsulorhexis and intraocular lens implantation in the lens capsule // Am. J. Ophthalmol. – 1998. – Vol. 125, № 4. – P. 429-435.
18. Muсoz-Negrete F.J., Rebolleda G. Capsular bag distension syndrome after combined cataract and glaucoma surgery // Acta. Ophthalmol. Scand. – 2005. – Vol. 83, № 2. – P. 252-255.
19. Nishi O., Nishi K., Osakabe Y. Effect of intraocular lenses on preventing posterior capsule opacification: design versus material // J. Cataract Refract. Surg. – 2004. – Vol. 30, № 10. – P. 2170-2176.
20. Nishi O., Nishi K., Takahashi E. Capsular bag distention syndrome noted 5 years after intraocular lens implantation // Am. J. Ophthalmol. – 1998. – Vol. 125, № 4. – P. 545-547.
21. Ram J., Kaushik S., Brar G.S., Gupta A. Neodymium: YAG capsulotomy rates following phacoemulsification with implantation of PMMA, silicone, and acrylic intraocular lenses // Ophthalmic Surg. Lasers. – 2000. – Vol. 32, № 5. – P. 375-382.
22. Saika S., Werner L., Lovicu F.J. Lens Epithelium and Posterior Capsular Opacification. – Tokyo: Springer, 2014. – 428 p.
23. Schmidbauer J.M., Vargas L.G., Peng Q. et al. Posterior capsule opacification // Int. Ophthalmol. Clin. – 2001. – Vol. 41, № 3. – P. 109-131.
24. Sorenson A.L., Holladay J.T., Kim T. et al. Ultrasonographic measurement of induced myopia associated with capsular bag distention syndrome // Ophthalmology. – 2000. – Vol. 107, № 5. – P. 902-908.
25. Spalton D.J. Posterior capsular opacification after cataract surgery // Eye. – 1999. – Vol. 13. – P. 489-492.
26. Sundelin K., Sjцstrand J. Posterior capsule opacification 5 yearsafter extracapsular cataract extraction // J. Cataract. Refract. Surg. – 1999. – Vol. 25, № 2. – P. 246-250.
Fyodorov Journal of Ophthalmic Surgery. 2015; : 6-11
THE VARIETY OF SECONDARY CHANGES OF THE POSTERIOR CAPSULE OF THE LENS AFTER THE IMPLANTATION OF DIFFERENT TYPES OF IOLS
https://doi.org/undefinedAbstract
Purpose. The aim of the study was to describe various forms of secondary changes in area of the lens capsule after phacoemulsification with implantation of different types of IOLs.
Material and methods. The study was conducted by a continuous study in 673 patients after phacoemulsification with implantation of different IOL types performed at the private eye center «Vostok-Prozrenie». The study included 409 female and 264 male patients. The age of patients ranged from 25 to 87 years (67.2±12.1 years). Conventional clinical ophthalmological examinations were carried out in all patients. The postoperative follow-up was up to 5 years.
Results. Totally there were identified 70 cases of changes in the posterior lens capsule (PCO) (10.4%). The period of changes detection in the posterior lens capsule after phacoemulsification surgery varied from 6 months to 5 years.
Conclusion. We describe the main types of secondary alterations of the posterior capsule of the lens after the implantation of modern IOL types. The obtained information can help surgeons to select an optimal IOL type and an approach to the prevention of secondary alteration of the capsular bag-IOL area. It is revealed that the liquefied lens bag is a complication easily eliminated using the YAG-laser puncture and the subsequent posterior capsulotomy.
References
1. Anisimov S.I. Sravnitel'naya otsenka materialov dlya elastichnykh perednekamernykh IOL: Avtoref. dis. … kand. med. nauk. – M., 1986. – 25 s.
2. Anisimova S.Yu., Anisimov S.I., Larionov E.V. Khirurgiya glaukomy. – M., 2012. – 183 s. 3. Sorokoletov G.V., Zuev V.K., Tumanyan E.R. i dr. Chastota razvitiya vtorichnoi katarakty v artifakichnykh glazakh s sovremennymi modelyami zadnekamernykh IOL pri osevoi miopii // Oftal'mokhirurgiya. – 2013. – № 2. – S. 28-31.
3. Tereshchenko Yu.A., Sorokin E.L., Belonozhenko Ya.V. Vyyasnenie vzaimosvyazei mezhdu implantiruemymi intraokulyarnymi linzami iz razlichnykh materialov i variantami formirovaniya pomutnenii zadnei kapsuly khrustalika posle fakoemul'sifikatsii vozrastnoi katarakty // Oftal'mokhirurgiya. – 2014. – № 4. – S. 28-32.
4. Auffarth G., Brezin A., Caporossi A. Et al. Comparison of Nd: YAG capsulotomy rates following phacoemulsification with implantation of PMMA, silicone, or acrylic intra-ocular lenses in four European countries // Ophthalmic Epidemiol. – 2004. – Vol. 11, № 4. – P. 319-329.
5. Bhattacharjee H., Bhattacharjee K., Bhattacharjee P. et al. Liquefied after cataract and its surgical treatment // Indian J. Ophthalmol. – 2014. – Vol. 62, № 5. – P. 580-584.
6. Brooks A.M., Drewe R.H., Grant G.B. Crystalline nature of the iridescent particles in hypermature cataracts // Br. J. Ophthalmol. – 1994. – Vol. 78, № 7. – P. 581-582.
7. Fine I.H. Cortical cleaving hydrodissection // J. Cataract Refract. Surg. – 1992. – Vol. 18, № 5. – P. 508-512.
8. Flocks M., Littwin C.S., Zimmerman L.E. Phacolytic glaucoma: a clinicopathologic study of one hundred thirty-eight cases of glaucoma associated with hypermature cataract // Arch. Ophthalmol. – 1955. – Vol. 54, № 1. – P. 37-45.
9. Hayashi K., Hayashi H., Nakao F., Hayashi F. Changes in posterior capsule opacification after poly (methyl methacrylate), silicone, and acrylic intraocular lens implantation // J. Cataract Refract. Surg. – 2001. – Vol. 27, № 6. – P. 817-824.
10. Heatley C.J., Spalton D.J., Kumar A. et al. Comparison of posterior capsule opacification rates between hydrophilic and hydrophobic single-piece acrylic intraocular lenses // J. Cataract Refract. Surg. – 2005. – Vol. 31, № 4. – P. 718-724.
11. Hollick E.J., Spalton D.J., Ursell P.G. et al. The effect of polymethylmethacrylate, silicone, and polyacrylic intraocular lenses on posterior capsular opacification 3 years after cataract surgery // Ophthalmology. – 1999. – Vol. 106, № 1. – P. 49-55.
12. Horatanaruang O., Saranyakoob W. Late postoperative capsular block syndrome // J. Med. Assoc. Thai. – 2005. – Vol. 88. – P. 151-154.
13. Joshi R.S. Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract // Clin. Ophthalmol. – 2013. – Vol. 7. – P. 1605.
14. Kugelberg M., Wejde G., Jayaram H. et al. Posterior capsule opacification after implantation of a hydrophilic or a hydrophobic acrylic intraocular lens: one-year follow-up // J. Cataract Refract. Surg. – 2006. – Vol. 32, № 10. – P. 1627-1631.
15. Masket S. Truncated edge design, dysphotopsia, and inhibition of posterior capsule opacification // J. Cataract Refract. Surg. – 2000. – Vol. 26, №. 1. – P. 145-147.
16. McQueen B.R., Margo C.E. Capsular bag distention syndrome after combined cataract-lens implant surgery and Ahmed valve implantation // Am. J. Ophthalmol. – 2001. – Vol. 132, № 1. – P. 109-110.
17. Miyake K., Ota I., Miyake S., Horiguchi M. Liquefied aftercataract: a complication of continuous curvilinear capsulorhexis and intraocular lens implantation in the lens capsule // Am. J. Ophthalmol. – 1998. – Vol. 125, № 4. – P. 429-435.
18. Musoz-Negrete F.J., Rebolleda G. Capsular bag distension syndrome after combined cataract and glaucoma surgery // Acta. Ophthalmol. Scand. – 2005. – Vol. 83, № 2. – P. 252-255.
19. Nishi O., Nishi K., Osakabe Y. Effect of intraocular lenses on preventing posterior capsule opacification: design versus material // J. Cataract Refract. Surg. – 2004. – Vol. 30, № 10. – P. 2170-2176.
20. Nishi O., Nishi K., Takahashi E. Capsular bag distention syndrome noted 5 years after intraocular lens implantation // Am. J. Ophthalmol. – 1998. – Vol. 125, № 4. – P. 545-547.
21. Ram J., Kaushik S., Brar G.S., Gupta A. Neodymium: YAG capsulotomy rates following phacoemulsification with implantation of PMMA, silicone, and acrylic intraocular lenses // Ophthalmic Surg. Lasers. – 2000. – Vol. 32, № 5. – P. 375-382.
22. Saika S., Werner L., Lovicu F.J. Lens Epithelium and Posterior Capsular Opacification. – Tokyo: Springer, 2014. – 428 p.
23. Schmidbauer J.M., Vargas L.G., Peng Q. et al. Posterior capsule opacification // Int. Ophthalmol. Clin. – 2001. – Vol. 41, № 3. – P. 109-131.
24. Sorenson A.L., Holladay J.T., Kim T. et al. Ultrasonographic measurement of induced myopia associated with capsular bag distention syndrome // Ophthalmology. – 2000. – Vol. 107, № 5. – P. 902-908.
25. Spalton D.J. Posterior capsular opacification after cataract surgery // Eye. – 1999. – Vol. 13. – P. 489-492.
26. Sundelin K., Sjtsstrand J. Posterior capsule opacification 5 yearsafter extracapsular cataract extraction // J. Cataract. Refract. Surg. – 1999. – Vol. 25, № 2. – P. 246-250.
