The authors analyze the results of 63 surgeries for implantation of intraocular lenses, V. N. Alexeyev's design, in patients with traumatic cataracts and other injuries after perforating and contusion injuries. The results evidence a high efficacy of intracapsular implantation. Vision acuity with correction has improved in 36 eyes to make up 0.5 and more diopters. In the rest cases (27 eyes) vision acuity with correction has made up 0.1-0.4. The implantation was simple and the course of the postoperative period smooth in the patients with membranous and semiresolved cataracts, with primary and secondary glaucoma, and implantation into the posterior chamber.

Cataract↗

PubMedDate not supplied

[Intracapsular implantation of intraocular lenses in patients with diabetes mellitus].

The authors analyze the results of treatment of 30 eyes of 28 patients suffering from various forms of diabetes mellitus for 1 to 15 years; no cases with neovascularization or proliferative diabetic retinopathy were included in the study. Extracapsular cataract extraction with intraocular lens (IOL) intracapsular implantation was carried out according to the method developed by B. N. Alexeyev. Polymethylmethacrylate lens with a 5 mm diameter of the optic section with polymethylmethacrylate supporting elements was implanted into the capsular sac. In 4 cases lenses with 7 mm optic section diameter and with polypropylene supporting arches were implanted. IOLs were implanted in both eyes to 2 patients. The methods of examination included visometry, biomicroscopy, measurements of the blood sugar before and after surgery, tonometry, tonography, echography, ophthalmometry, gonioscopy, fluorescent angiography. The findings permit a conclusion that IOL intracapsular implantation to diabetics was effective in all 30 cases analyzed. High visual acuity was achieved in more than 80 percent of patients. No grave complications of the ocular or general condition due to diabetes mellitus were recorded. Therefore IOL intracapsular implantation is safe and possible in type I and II diabetes mellitus patients.

Aged↗

PubMedDate not supplied

[The late results of a trabeculoretraction operation].

A comprehensive analysis is made of immediate and late results of trabeculoretraction, a new pathogenetically oriented antiglaucoma surgical technique suggested by B. N. Alekseev. This operation was carried out in 178 eyes (123 patients) with various forms and stages of glaucoma; the follow-up periods were up to 5 years. Compensation of the hydrodynamics was achieved immediately after surgery in all the patients and it persisted in late periods in 98% of cases. Vision acuity and visual field improved or remained unchanged in 87% of cases. High efficacy of trabeculoretraction and no complications, that is characteristic of fistulization operations, recommend this technique for wide use in various stages of glaucoma, including the initial one.

Adult↗

PubMedDate not supplied

[Silicone drainage in the treatment of glaucoma with neovascularization of the iris and irido-corneal angle].

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Adolescent↗