|
NR. 1/2006
|
|
|
|
|
|
|
|
|
Chirurgiczne metody
usuwania przemieszczonych soczewek
Surgical Methods of Dislocated Lenses Removal
Beata Matulska, Dominik Odrobina,
Piotr Gozdek, Janusz Borowski, Jerzy Nawrocki
Oddział Okulistyczny III Szpitala Miejskiego im. K. Jonschera w
Łodzi
Kierownik: prof. dr hab. n. med. Jerzy Nawrocki |
|
|
|
|
|
|
|
| Summary: |
Purpose: To present
operative techniques and results of dislocated lenses
treatment.
Material and methods: Our research material
covers 93 eyes in 88 individuals aged 19-95 years (mean
57 years). Time of observation ranged from 6 months to
10 years (mean 31 months). Patients were divided into
four groups according to the treatment methods used:
Group A – ECCE or phacoemulsification with PCIOL
implantation. Group B – pars plana vitrectomy combined
with phacoemulsification of dislocated lens and PCIOL
scleral fixation. Group C – pars plana vitrectomy
involving whole lens removal by limbal incision with
PCIOL scleral fixation. Group D – cryoextraction of the
lens with ACIOL implantation. Patients records were
reviewed for pre- and postoperative complications and
final visual outcomes.
Results: Final postoperative visual acuity was
improved in the majority of cases (89%) in all analyzed
groups. The best visual acuity and the lowest
complications rate were achieved in groups A, B and C.
The worst results were observed in group D.
Conclusions: The modern methods of dislocated
lenses treatment are safe with good visual outcomes. |
| |
|
| Key words: |
dislocated lenses,
vitrectomy, transcleral fixation. |
|
|
|
|
|
|
|
|
