[Role of ultrasound biomicroscopy in assessing the results of laser treatment in capsular contraction syndrome].

Q3 Medicine Vestnik oftalmologii Pub Date : 2021-01-01 DOI:10.17116/oftalma202113706126

A A Gamidov, D V Andgelova, E A Averkina, Z V Surnina

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引用次数: 2

Abstract

The article presents the results of ultrasound biomicroscopy (UBM) measurements of pseudophakic patients with anterior capsular contraction syndrome (CS).

Purpose: To analyze the results of UBM in capsular CS before and after laser treatment.

Material and methods: The study included 42 patients with capsular CS. The HI-scan ultrasound biomicroscope (Optikon, Italy) with 35 MHz UBM probe and the LPULSA SYL-9000 Premio laser (LightMed, Taiwan-USA) were used.

Results: The shrinkage of the capsular bag of the lens was accompanied by a significant decrease in the diameter of the anterior capsulotomy opening, IOL decentration and its displacement towards the posterior pole of the eye, stretching or damage to the ciliary zonule, and an increase in the ciliary body thickness. In 2 cases, ruptures of the ciliary body and its separation from the place of attachment to the iris root were observed. The optimal algorithm of laser treatment was developed to minimize the risk associated with possible aggravation of the clinical manifestations of CS and possible complications during laser treatment.

Conclusion: UBM is an effective examination method for CS, which allows assessing the state of the capsular bag of the lens and the ciliary body, evaluating the effectiveness of laser treatment and predicting the risks associated with a high probability of complications.

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超声生物显微镜在评估激光治疗包膜收缩综合征效果中的作用。

本文介绍了超声生物显微镜(UBM)测量假性晶状体前囊收缩综合征(CS)患者的结果。目的:分析激光治疗包膜CS前后UBM的效果。材料和方法:本研究纳入42例囊性CS患者。使用高扫描超声生物显微镜(Optikon，意大利)，35 MHz UBM探头和LPULSA SYL-9000 Premio激光器(LightMed，台湾-美国)。结果:晶状体囊袋收缩，晶状体前囊开孔直径明显减小，人工晶状体离体向眼后极移位，睫状体带拉伸或损伤，睫状体厚度增加。2例观察到睫状体破裂并与虹膜根附着处分离。制定激光治疗的最佳算法，以尽量减少激光治疗过程中可能加重CS临床表现和可能出现并发症的风险。结论:UBM是一种有效的CS检查方法，可以评估晶状体囊袋和睫状体的状态，评估激光治疗的有效性，预测高概率并发症的风险。

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.