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ASSESSMENT OF THE RESULTS OF OPTIMIZED ENDOCAPSULAR MECHANIC PHACOFRAGMENTATION DURING ULTRASONIC PHACOEMULSIFICATION OF CATARACT

Abstract

The objective of the research was to evaluate the preliminary results of the ultrasound phacoemulsification of cataract with optimized endocapsular mechanical phacofragmentation.68 patients (23 men and 45 women) with cataract were operated on using optimized endocapsular mechanic phacofragmentation during ultrasonic phacoemulsification. All patients underwent visometry, biomicroscopy, ophthalmoscopy, autorefractometry,keratometry, tonometry before and after the surgery. All operations were performed by one surgeon using phacoemulsificator «In-finiti» (Alcon). Surgical complication was posterior capsule rupture in the late stage of phacoemulsification. After the anterior vitrectomy intraocular lens was implanted on the anterior capsule into iridociliary sulcus. Of the postoperative complications the following were noted: transient hypertension in 5 cases (7,35%), swelling of the cornea in 10 eyes (14,7%).Postoperatively 65 eyes (95.45%) had areactive course, 3 eyes (4.55%) showed exudative reaction of 2nd degree. Visual acuity with best correction was 0.5 and above in 58 eyes (86%) within a week after surgery, in 65 eyes (95%) - a month after the surgery.

About the Authors

A. A. Botbaev
Кыргызская государственная медицинская академия им. академика И.К. Ахунбаева, г. Бишкек Медицинский центр «Дордой офтальмик сервис»
Russian Federation


A. U. Tultemirov
Кыргызская государственная медицинская академия им. академика И.К. Ахунбаева, г. Бишкек Медицинский центр «Дордой офтальмик сервис»
Russian Federation


References

1. Colvard M. Divide and conquer cross-chop. A simple, easy, and effective approach to nuclear disassembly / M. Colvard // Cataract & Refractive Surgery Today. 2012 Oct; 46-48

2. PhacoPrechop versus Divide and Conquer Phacoemulsification: A Prospective Comparative Interventional Study /Effat A Elnaby [et al.]//Middle East African Journal of Ophthalmology. - 2008 Jul-Dec/ - Vol. 15(3). - P. 123-127

3. Сomparison of divide and conquer and phaco-chop techniques during fluid-based phaco-emulsification / A. Tsorbatzoglou [et al.] // Eur. J. Ophthalmol. - 2007 May-Jun. - Vol. 17(3). - P. 315-319


Review

For citations:


Botbaev A.A., Tultemirov A.U. ASSESSMENT OF THE RESULTS OF OPTIMIZED ENDOCAPSULAR MECHANIC PHACOFRAGMENTATION DURING ULTRASONIC PHACOEMULSIFICATION OF CATARACT. Bashkortostan Medical Journal. 2017;12(2):23-26. (In Russ.)

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ISSN 1999-6209 (Print)