[The first experience of using femtosecond laser in the treatment of anterior capsular contraction syndrome].

Q3 Medicine

Vestnik oftalmologii Pub Date : 2024-01-01 DOI:10.17116/oftalma202414001165

Yu N Yusef, S N Yusef, A S Vvedenskiy, A A Gamidov, M N Ivanov, K S Avetisov, K Alkhumidi

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引用次数: 0

Abstract

Prevention and treatment of anterior capsular contraction syndrome (ACCS) is a relevant problem in cataract surgery.

Purpose: The study was performed to develop a femtosecond laser-assisted technique for anterior capsulotomy in anterior capsular contraction syndrome and assess its preliminary results in preventing the progression of pathological changes in the capsular bag.

Material and methods: The examination and femtosecond laser-assisted treatment without additional surgical intervention was performed in 6 patients (6 eyes) aged 69 to 73 years with anterior capsular contraction syndrome. Femtosecond laser-assisted anterior capsulotomy was performed using the VICTUS system (Technolas Perfect Vision, Germany). Capsulotomy diameter was 4.0-4.5 mm, laser radiation energy - 9000 nJ, laser exposure depth 900-1000 μm.

Results: The diameter of the anterior capsulotomy before treatment was 2.85 mm [2.75; 2.93]. After 1 month, the diameter of the anterior capsular opening was 2.88 mm [2.78; 2.96] (p>0.05). One year after femtosecond laser intervention, the anterior capsulotomy opening was almost the same shape and diameter - 2.84 mm [2.74; 2.94] (p>0.05).

Conclusion: Femtosecond laser-assisted circular capsulotomy is an effective and safe method for preventing the progression of anterior capsular contraction syndrome in the absence of severe IOL decentration and for maintaining the diameter of the anterior capsular opening of at least 2.5-3.0 mm.

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[使用飞秒激光治疗前囊收缩综合征的首次经验]。

目的：该研究旨在开发一种飞秒激光辅助的前囊切开术治疗前囊收缩综合征，并评估其在防止囊袋病理变化进展方面的初步效果：对6名年龄在69至73岁之间的前囊收缩综合征患者（6只眼）进行了检查和飞秒激光辅助治疗，无额外手术干预。飞秒激光辅助前囊切开术是使用 VICTUS 系统（德国 Technolas Perfect Vision 公司）进行的。囊肿切除直径为 4.0-4.5 mm，激光辐射能量为 9000 nJ，激光照射深度为 900-1000 μm：结果：治疗前的前囊切直径为 2.85 mm [2.75; 2.93]。一个月后，前囊口直径为 2.88 mm [2.78; 2.96] (p>0.05)。飞秒激光介入治疗一年后，前囊开口的形状和直径几乎保持不变--2.84 毫米 [2.74; 2.94] （P>0.05）：飞秒激光辅助环形囊切开术是一种有效、安全的方法，可在无严重人工晶体脱位的情况下防止前囊收缩综合征的发展，并将前囊开口直径维持在至少2.5-3.0毫米。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vestnik oftalmologii Medicine-Ophthalmology

CiteScore

0.80

自引率

0.00%

发文量

129

期刊介绍： The journal publishes materials on the diagnosis and treatment of eye diseases, hygiene of vision, prevention of ophthalmic affections, history of Russian ophthalmology, organization of ophthalmological aid to the population, as well as the problems of special equipment. Original scientific articles and surveys on urgent problems of theory and practice of Russian and foreign ophthalmology are published. The journal contains book reviews on ophthalmology, information on the activities of ophthalmologists" scientific societies, chronicle of congresses and conferences.The journal is intended for ophthalmologists and scientific workers dealing with clinical problems of diseases of the eye and physiology of vision.