ЭФФЕКТИВНОСТЬ И ПРОБЛЕМЫ РЕКОНСТРУКТИВНО- ВОССТАНОВИТЕЛЬНОЙ ХИРУРГИИ ГЛАЗ С АНИРИДИЕЙ

[摘要] Purpose. Analysis of our experience in optical-reconstructive microsurgery with implantation of an artificial iris-lens diaphragm (ILD) «Reper-NN» in case of aniridia.Material and methods. The clinical analysis of efficiency and technical difficulties of ILD implantation was carried out in 17 eyes with congenital (5 eyes) and post-traumatic (12 eyes) aniridia. The follow-up: 1.5 years.Results. The main complexity of ILD implantation was caused by its larger sizes, and also a monolithic design. All operations passed according to the plan, intra-operative complications managed to be avoided in all cases. One year later the ILD localization was correct, stable, without decentration signs in all eyes. The level of intra-ocular pressure was normal. The photophobia disappeared, the visual acuity improved in 11 eyes.Conclusions. It is necessary to create flexible ILD designs for the implantation through microincisions (2.2-2.5mm), to modernize options of its sizes and haptics. It will allow to minimize both a surgical trauma, and a risk of various complications.

[学科分类] 眼科学

[关键词] aniridia;optical-reconstructive microsurgery;irislens diaphragm;аниридия;реконструктивно-восстановительная хирургия;иридо-хрусталиковая диафрагма