Nikolashin S I, Fabrikantov O L, Tsukankova M A, Pirogova E S
Tambov branch of the Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 1 Rasskazovskoe shosse, Tambov, Russian Federation, 392000.
Tambov branch of the Academician S.N. Fyodorov IRTC 'Eye Microsurgery', Ministry of Health of the Russian Federation, 1 Rasskazovskoe shosse, Tambov, Russian Federation, 392000; Tambov State University named after G.R. Derzhavin, Medical Institute, 93 Sovetskaya St., Tambov, Russian Federation, 392000.
Vestn Oftalmol. 2016 Mar-Apr;132(2):62-69. doi: 10.17116/oftalma2016132262-68.
To improve phacoemulsification technique of mature intumescent cataract and to study mechanisms of possible uncontrolled tearing of the anterior lens capsule during creation of the anterior capsulorhexis.
Two groups were formed. Group 1 consisted of 52 patients with mature intumescent cataract, in whom a two-stage capsulorhexis was performed with lenticular masses removed from the anterior and posterior capsular bag compartments in between the two stages. Group 2 consisted of 55 patients with mature intumescent cataract, whose capsulorhexis was standard.
We have specified appropriate methods for diagnosing intumescent cataract and thoroughly investigated the mechanism of uncontrolled tearing of the anterior capsule that can occur during creation of the anterior capsulorhexis. Five structural variants of the swollen lens have been described. As to surgical complications, there were 2 cases (3.8%) of small anterior capsulorhexis tearing in group 1 that were managed by converting the capsulorhexis into the a bigger one and, thus, did not affect surgical outcomes. In group 2, there were 7 cases of uncontrolled tearing of the anterior capsule during creation of the anterior capsulorhexis, in 4 of them (7,3%) the posterior capsule got also involved.
改进成熟膨胀期白内障的超声乳化技术，并研究在前囊撕开过程中前囊可能出现意外撕裂的机制。
分为两组。第1组由52例成熟膨胀期白内障患者组成，对其进行两阶段撕囊，在两个阶段之间从前后囊袋隔室中取出晶状体团块。第2组由55例成熟膨胀期白内障患者组成，其撕囊为标准操作。
我们明确了诊断膨胀期白内障的合适方法，并深入研究了在前囊撕开过程中可能发生的前囊意外撕裂机制。描述了肿胀晶状体的五种结构变体。至于手术并发症，第1组有2例（3.8%）前囊小撕裂，通过将撕囊扩大得以处理，因此未影响手术结果。在第2组中，有7例在前囊撕开过程中前囊意外撕裂，其中4例（7.3%）后囊也受累。
