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NR 4-6/2007
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Fakofragmentacja
soczewek zwichniętych do komory szklistej z użyciem płynu
perfluorokarbonowego i jednoczesnym wszczepieniem soczewki
wewnątrzgałkowej – wyniki odległe
Phacofragmentation with
perfluorocarbon liquid and anterior chamber or scleral-fixated
intraocular lens implantation for the management of luxated
crystalline lenses – long-term results
Agata Wesołek-Czernik, Wojciech Omulecki,
Ewa Chrul, Aleksandra Synder
Z Katedry i Kliniki Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: Estimation of
long-term results and complications of complex surgical
technique, used for the management of luxated
crystalline lenses.
Material and methods: This prospective study involved 29
consecutive patients (31eyes) with the mean age of 62
years. The applied surgical technique comprised pars
plana vitrectomy, perfluorocarbon liquid injection and
crystalline lens phacofragmentation in the vitreous
cavity. Simultaneously, anterior chamber intraocular
lenses (IOLs) were implanted in 13 eyes, and
scleral-fixated, posterior chamber IOLs in 17 eyes. In
one patient with high myopy the lens was not implanted.
The follow-up ranged between 9 and 38 months (mean 22.8
months).
Results: No complications were observed during
phacofragmentation. Improvement in visual acuity was
achieved in 18 cases one week after operation and in 23
patients at last examination. We achieved visual acuity
of 4/50 – hand movements in 4 cases, 5/16–5/50 in 3 eyes,
5/8–5/12 in 7 and 5/5–5/7 in 17 cases, in last
examination. There were no intra-operative complications.
Low visual acuity in some cases was due to the presence
of postoperative complications or coexisting eye
diseases, such as secondary glaucoma, atonic pupil, age
related macular degeneration, retinal detachment and
macular hole.
Conclusions: Phacofragmentation with perfluorocarbon
liquid and IOL implantation for the management of
luxated crystalline lenses is safe and effective method,
providing very good long-term functional results. |
| Słowa kluczowe: |
zwichnięcie soczewki,
soczewki wewnątrzgałkowe, płyny perfluorokarbonowe,
fakofragmentacja. |
| Key words: |
crystalline lens luxation,
intraocular lenses, perfluorocarbon liquids,
phacofragmentation. |
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