CATARACT PHACOEMULSIFICATION WITH FLOPPY IRIS SYNDROME: SIMPLE TECHNICAL SOLUTIONS
Abstract
Phacoemulsification with floppy iris syndrome can be complicated by trauma of the iris, excessive loss of corneal endothelial cells, perforation of the posterior capsule of the lens and postoperative inflammatory reactions.
The purpose of this study is to optimize the phacoemulsification technique for floppy iris syndrome at various stages of the operation, aimed at reducing the risk of complications.
Material and methods. The study included 38 patients (38 eyes) of the eye microsurgery department (adult) GOZ VOKB No. 1, Volgograd, who were diagnosed intraoperatively with SAR of varying severity.
Results. A method for preventing iris prolapse at the stage of removing cortical masses is proposed, which is characterized by ease of implementation, does not require additional devices and allows one to avoid intraoperative trauma to the iris and cornea. The method consists of mechanical occlusion of the main tunnel incision of the cornea, as a result of which the filtration of the irrigation solution through the surgical wound stops, the position of the iris is stabilized, and its fall out of the tunnel along the pressure gradient stops. In the first version of the method, occlusion is achieved by applying a temporary interrupted suture. The second option involves installing in a tunnel a cellulose occluder, previously modeled from a microsurgical tupffer.
Conclusion. In patients operated on using these surgical techniques, the operation and postoperative period proceeded favorably with a minimum number of complications.
About the Authors
K. S. Trishkin
ФГБОУ ВО «Волгоградский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
I. A. Gndoyan
ФГБОУ ВО «Волгоградский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Trishkin K.S., Gndoyan I.A. CATARACT PHACOEMULSIFICATION WITH FLOPPY IRIS SYNDROME: SIMPLE TECHNICAL SOLUTIONS. Bashkortostan Medical Journal. 2024;19(2):38-42. (In Russ.)
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