Surgical aspects of modern treatment of patients with complicated myopia and cataract

Written by Sokolov K.V.

  UDK: 617.741–004.1–06:617.753.2–089 | Pages: 78–82 | Full text PDF | Open PDF 


Objective. According to a high risk of complications during and after cataract surgery in patients with degenerative myopia need specific low-traumatic and effective approaches to each of the stages of intervention, as well as measures aimed at timely detection and elimination of risk factors for late postoperative complications.
Methods. The experience of 496 phacoemulsifications on myopic eyes (252 patients) is summarized. Patients are divided into three groups: the initial group (86 patients – 164 eyes with degenerative myopia), where during the main intervention microinvasive endovitreal manipulations were performed, comparison group (81 patients – 162 eyes with degenerative myopia), where additional manipulation was not carried out, and control group (85 patients – 170 eyes) with not complicated myopia and senile cataract. Duration of observation is up to two years.
Results. Late postoperative complications in the main group were detected in 2.4 % of cases, in the comparison group – in 5.5 % of cases. Among them: Среди них: local retinal separation, formation of epiretinal and neovascular membranes, vitreochorionetinal dystrophy. Complications noted in the control group (4.1 %) were explained by age-related changes.
Conclusions. Implementation of a complex of low-traumatic intraoperative measures for one session allows not only to reduce the potential risks of late postoperative complications, but also significantly reduce the patient›s psychological trauma from multiple surgical interventions.

Links to authors:

K.V. Sokolov
Primorskiy Center of Eye Microsurgery (100e Borisenko St. Vladivostok 690080 Russian Federation)

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