假晶状眼青光眼

I. Isakov, U. Karimov, A. V. Seleznev, A. Kuroyedov, A. Brezhnev
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摘要

的相关性。目前,世界范围内与年龄相关的眼病呈稳步增长趋势。首先,这适用于老年性黄斑变性(AMD)、青光眼、白内障等眼部疾病。尽管手术技术的发展和标准化,白内障超声乳化术的广泛应用,许多抗青光眼手术的改进,以及血管生成抑制剂用于治疗AMD的积极应用,这些疾病仍然在导致低视力和失明的原因中占据主导地位。目的。目的:探讨白内障手术后假性晶状体青光眼发生的原因。材料和方法。为了完成这项综述,我们在PubMed和Scopus摘要数据库中检索了截至2021年的文献来源。总共选择了53篇与综述主题相关的文章。关于这一主题的出版物始于1963年。结果。假性剥脱综合征、高度近视、外伤性、糖尿病和葡萄膜白内障患者都有风险。假性晶状体青光眼也可由术中(虹膜损伤、玻璃体脱垂、人工晶状体植入囊袋外、不完全粘弹性冲洗)和术后并发症(炎症过程、前房积血、人工晶状体脱位、瞳孔阻滞或Ellingson综合征)引起。结论。假性晶状体青光眼虽然罕见,但严重影响白内障手术的效果。关键词:假性青光眼,青光眼,白内障,眼高压,超声乳化手术并发症
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Glaucoma of the pseudophakic eye
Relevance. Currently, there is a steady increase in the age-associated eye diseases worldwide. First of all, this applies to such ocular diseases as age-related maculodegeneration (AMD), glaucoma and cataracts. Despite the development and standardization of surgical techniques, the widespread introduction of cataract phacoemulsification, appearance of many modifications of anti-glaucomatous surgery, and the active use of angiogenesis inhibitors used to treat AMD, these diseases continue to occupy a leading position in the causes of low vision and blindness. Purpose. To reveal the problem of the development of pseudophakic glaucoma in patients who underwent surgical treatment for cataracts. Material and methods.To complete this review, we searched for literature sources on the PubMed and Scopus abstract databases for the period up to 2021 inclusive. In total, 53 articles related to the topic of the review were selected. The beginning of publications on this topic dates back to 1963. Results. At risk are patients with pseudoexfoliative syndrome, high-grade myopia, traumatic, diabetic and uveal cataracts. Pseudophakic glaucoma can also be caused by intraoperative (iris damage, vitreous prolapse, implantation of an intraocular lens outside the capsular bag, incomplete viscoelastic washout) and postoperative complications (inflammatory process, hyphema, dislocation of the artificial lens, pupillary block or Ellingson syndrome). Conclusion. Pseudophakic glaucoma, although rare, is quite formidable, which can reduce result of cataract surgery. Key words: pseudophakic glaucoma, glaucoma, cataract, ophthalmohypertension, complications of phacoemulsification
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