NR 2/2002
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Wszczepy przedniokomorowe - dziesięcioletnia
obserwacja
The long term clinical outcome of anterior chamber
lenses after cataract surgery
Stefan M. Pojda, Ewa Herba, Barbara Zatorska,
Dorota Pojda-Wilczek, Aleksandra Rycerska
Z Katedry i Oddziału Klinicznego Okulistyki Śląskiej Akademii Medycznej w Katowicach
Ze Szpitala Specjalistycznego nr 1 w Bytomiu
Kierownik: prof. dr hab. n. med. Stefan M. Pojda |
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| Summary: |
Purpose: To analyse the functional results
and postoperative complications of primary and secondary anterior chamber lenses
implantation in a follow up of 10 years.
Patients and method: Sixty one patients (64 eyes), 29 females and 32
males, between 22 and 96 year of age (midding 64 years), who underwent cataract surgery
with anterior lens implantation from 1990 to 2000 were analysed. It was performed with
cataract removal in 51 eyes (after intracapsular extraction in 18 eyes and 33 eyes with
intraoperative complications making impossible to apply the posterior chamber intraocular
lens).
The secondary implantation was complied in 13 aphakic eyes from 1 to 13 years after
cataract removal. Thirty nine patients were subjected to the control examination on
October of 2000 year. The visual acuity, intraocular pressure, anterior and posterior part
of the eye were examined.
Results: The satisfactory visual function and intraocular pressure were
confirmed in most of the patients. The reasons of lower visual acuity were: the retinal
detachment (2 eyes), bullous keratopathy (2eyes after vitreous loss), age related macular
degeneration (1eye), proliferative diabetic retinopathy (2 eyes). In the anterior part of
the eye in 21 eyes (54%) we observed deformation of the pupil's shape, only.
Conclusions: The anterior chamber lens implantation is an efficacious
method of aphakia treatment in some patients. The older patients demonstrated good
functional results and tolerance of anterior chamber lens, especially after the cataract
removal by krioextraction. The good tolerance and visual acuity were observed either in
cases of primary or secondary implantation. In the case of capsular rupture and vitreous
loss before AC IOL implantation, a complete (full) vitrectomy should be performed. |
| Słowa kluczowe: |
soczewki przedniokomorowe, ostrość wzroku, wskazania,
powikłania. |
| Key words: |
anterior chamber lenses, visual acuity, indications,
complications. |
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