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NR 4-6/2009
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Ocena użyteczności
soczewki dyskowatej w zabiegach łączonych usunięcia zaćmy z pars
plana witrektomią
Evaluation of the disc
shaped lens in the combined cataract and vitrectomy surgery
Jarosław Kocięcki, Marcin Stopa,
Krzysztof Załęcki
Z Katedry i Kliniki Okulistyki Uniwersytetu Medycznego w
Poznaniu
Kierownik: dr hab. n. med. Jarosław Kocięcki |
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| Summary: |
Purpose: Evaluation
of Acrimed LENTIS UNICO LU-800 RZI discoid lens in the
combined cataract and vitrectomy surgery.
Material and methods: ten patients that underwent
combined cataract and vitrectomy surgery between January
and April 2007 were included in the prospective study.
There were 8 female and 2 male patients with the mean
age of 58.4±18.7 years in the study group. Data
including age, sex, indications for surgery were
collected with a special form. Furthermore, difficulty
of lens implantation, retinal periphery visualization
during vitrectomy, and retinal periphery visualization
in the follow up ophthalmoscopy were evaluated with a
special scale ranging from 0 to 5 (0 = impossible, 1 =
very difficult, 2 = difficult, 3 = moderate, 4 = easy, 5
= very easy).
Results: The difficulty of the anterior segment
surgery was graded 3.1±0.74. Visualization of the
retinal periphery in the vitrectomy was ranked 4.8±0.42.
In the postoperative follow up ophthalmoscopy
visualization of the peripheral retina was scored as
4.4±0.7. The most severe complication observed
intraoperatively was discoid lens dislocation into the
vitreous cavity. Postoperatively there was a case of a
malignant glaucoma-like syndrome that required a second
surgery.
Conslusions: In our opinion the discoid lens
yields a very good visibility of the peripheral retina
during vitreoretinal procedures and in the follow up
ophthalmoscopy. We do not recommend this lens for
routine cases, because of the difficult implantation and
the relatively high number of complications is observed.
It can be considered in some selected eyes when
maneuvers in the peripheral retina or laser therapy in
the future are planned. |
| Słowa kluczowe: |
witrektomia,
fakoemulsyfikacja, fakowitrektomia, badanie
pooperacyjne. |
| Key words: |
vitrectomy,
phacoemulsification, phacovitrectomy, postoperative
examination. |
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