Alekseev B N, Basov G V, Chirkova T S
Vestn Oftalmol. 1989 Jan-Feb;105(2):11-4.
The authors analyze the results of 36 surgeries: intracapsular implantations of intraocular lenses (IOL), designed by B. N. Alexeev, to patients with unilateral cataracts in the presence of compensated glaucomas (treated conservatively, after surgical or laser interventions). The suggested operation is highly effective: the vision acuity of 0.6 and higher has been recorded in 34 of the 36 patients. Binocular vision has recovered in 34 cases. Hydrodynamic parameters have been normal over a year and longer after surgery; in 2 cases high vision acuity and normal intraocular pressure have been observed for up to 5 yrs. The advantages of B. N. Alexeev's IOL design over iris clips lenses have been demonstrated. A two-stage treatment of this patient population is suggested: (I) antiglaucoma surgery and (II) extracapsular cataract extraction with a simultaneous implantation of IOL, Alexeev's design. No late postoperative complications have been recorded.
作者分析了36例手术的结果:为患有单侧白内障且伴有代偿性青光眼(经手术或激光干预后保守治疗)的患者进行由B. N. 阿列克谢耶夫设计的人工晶状体(IOL)囊内植入术。所建议的手术非常有效:36例患者中有34例视力达到0.6及以上。34例患者恢复了双眼视力。术后一年及更长时间内流体动力学参数一直正常;2例患者在长达5年的时间里保持了高视力和正常眼压。已证明B. N. 阿列克谢耶夫的人工晶状体设计优于虹膜夹晶状体。建议对该患者群体采用两阶段治疗:(I)抗青光眼手术和(II)囊外白内障摘除术并同时植入阿列克谢耶夫设计的人工晶状体。未记录到术后晚期并发症。