uzspbgmuУчёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. ПавловаThe Scientific Notes of the Pavlov University1607-41812541-8807Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1607-4181-2019-26-1-20-28uzspbgmu-586Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESСПОСОБЫ ХИРУРГИЧЕСКОЙ КОРРЕКЦИИ ДИСЛОКАЦИЙ ИНТРАОКУЛЯРНЫХ ЛИНЗ И АФАКИИ (обзор литературы)METHODS OF SURGICAL CORRECTION OF INTRAOCULAR LENS DISLOCATION AND APHACIA (review of literature)ПотемкинВ. В.PotemkinVitaly V.

Санкт-Петербург

St. Petersburg

potem@inbox.ruГольцманЕ. В.GoltsmanElena V.

194354, Санкт-Петербург, Учебный пер., д. 5.

194354, St. Petersburg, Uchebniy street, 5.

ageeva_elena@inbox.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации; Санкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияPavlov University; City Ophthalmologic Center of City hospital № 2Russian FederationСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияCity Ophthalmologic Center of City hospital № 2Russian Federation2019060520192612028Copyright © Потемкин В.В., Гольцман Е.В., 20192019Потемкин В.В., Гольцман Е.В.Potemkin V.V., Goltsman E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sci-notes.ru/jour/article/view/586

За последние несколько десятилетий произошел прорыв в хирургическом лечении катаракты. Число осложнений, связанных с операцией, сведено к минимуму. Среди наиболее распространенных можно выделить дислокацию интраокулярной линзы (ИОЛ) ввиду несостоятельности капсульной поддержки. Таким образом, поиск эффективного и безопасного способа фиксации ИОЛ при отсутствии адекватной поддержки капсулы хрусталика продолжает быть одной из актуальных проблем в хирургии переднего отрезка. Данный обзор литературы посвящен основным способам коррекции дислокаций интраокулярных линз и афакии.

Over the last several decades, there has been breakthrough in cataract surgery. The rate of intraoperative complications was minimized. One of the most common complications remained the intraocular lens (IOL) dislocations due to inadequate capsular bag support. Thus, the search for an effective and safe method of the IOL fixation in the absence of adequate support of the lens capsule continued to be one of the major problems in anterior segment surgery. This review was devoted to the main methods of correction of intraocular lens dislocation and aphacia.

дислокация интраокулярных линзподвывих хрусталикаафакияintraocular lens dislocationlens subluxationaphakiaReferencesRidley H. Intra-ocular acrylic lenses; a recent development in the surgery of cataract // Br. J. Ophthalmol. – 1952. – Vol. 36, № 3. – Р. 113–122.Ridley H. Intra-ocular acrylic lenses; a recent development in the surgery of cataract. Br J Ophthalmol. 1952;36(3):113–122.Por Y. M., Lavin M. J. Techniques of intraocular lens suspension in the absence of capsular/zonular support // Surv. Ophthalmol. – 2005. – № 50. – Р. 429–462.Por Y. M., Lavin M. J. Techniques of intraocular lens suspension in the absence of capsular/zonular support. Surv Ophthalmol. 2005;50:429–462.Паштаев Н. П. Классификация дислокаций хрусталика, современная тактика лечения// Актуальные пробл. хир. хрусталика, стекловид. тела и сетчатки: сб. науч. тр. – М., 1986. – С. 34–37.Pashtaev N. P. Classification of dislocations of the lens, modern treatment tactics. Actual problems of surgery of the lens, vitreous body and retina. Мoscow, 1986:34–37. (In Russ.).Паштаев Н. П. Хирургия подвывихнутого и вывихнутого в стекловидное тело хрусталика. – Чебоксары: ГОУ ИУВ, 2006.Pashtaev N. P. Surgery of a lens sublimated and dislocated into the vitreous body. Cheboksary, 2006. (In Russ.).Потемкин В. В., Агеева Е. В. Нестабильность связочного аппарата хрусталика у пациентов с псевдоэксфолиативным синдромом: анализ 1000 последовательных факоэмульсификаций// Офтальмолог. ведом. – 2018. – Т. 11, № 1. – С. 41–46. Doi: 10.17816/OV11141-46.Potemkin V. V., Goltsman E. V. Zonular instability in patients with pseudoexfoliativ syndrome: the analysis of 1000 consecutive phacoemulsifications. Ophthalmology Journal. 2018;11(1):41–46. (In Russ.). Doi: 10.17816/OV11141-46.Holt D. G., Young J., Stagg B. et al. ACIOL, sutured PCIOL, or glued IOL: Where do we stand? // Curr. Opin. Ophthalmol. – 2012. – № 23. – Р. 62–67.Holt D. G., Young J., Stagg B., Ambati B. K. ACIOL, sutured PCIOL, or glued IOL: Where do we stand? Curr Opin Ophthalmol. 2012;23:62–67.McCannel M. A. A retrievable suture idea for anterior uveal problems // Ophthalmic. Surg. – 1976. – № 7. – Р. 98–103.McCannel M. A. A retrievable suture idea for anterior uveal problems. Ophthalmic Surg, 1976;7:98–103.Chang D. F. Siepser slipknot for McCannel iris-suture fixation of subluxated intraocular lens // J. Cataract. Refract. Surg. – 2004. – № 30. – Р. 1170–1176.Chang D. F. Siepser slipknot for McCannel iris-suture fixation of subluxated intraocular lens. J Cataract Refract Surg, 2004;30:1170–1176.Soiberman U., Pan Q., Daoud Y. et al. Iris suture fixation of subluxated intraocular lenses // Am. J. Ophthalmol. – 2015. – № 159. – Р. 353–359.Soiberman U., Pan Q., Daoud Y. et al. Iris suture fixation of subluxated intraocular lenses. Am J Ophthalmol. 2015;159:353–359.Binkhorst C. D. Artificial pseudophakia. Long-term results obtained with the papillary lens (iris-clip lens) in the first twenty cases of unilateralaphakia // Br. J. Ophthalmol. – 1962. – Vol. 46. – P. 947–956.Binkhorst C. D. Artificial pseudophakia. Long-term results obtained with the papillary lens (iris-clip lens) in the first twenty cases of unilateralaphakia. Br. J. Ophthalmol. 1962;46:947–956.Epstein E. Modified Ridley lenses. Johannesburg, South Africa // Br. J. Ophthalmol. – 1959. – Vol. 43. – P. 29–33.Epstein E. Modified Ridley lenses. Johannesburg, South Africa. Br. J. Ophthalmol. 1959;43:29–33Фёдоров С. Н. Имплантация искусственного хрусталика. – М.: Медицина, 1997. – С. 109; 207.Fedorov S. V. Implantation of intraocular lens. Мoscow, Мedicina, 1997:109; 207. (In Russ.).Worst J. G. Iris claw lens // Am. Intra-Ocular Implant Society Journ. – 1980. – Vol. 6, № 2. – Р. 166–167.Worst J. G. Iris claw lens. Am. Intra-Ocular Implant Society Journ. 1980;6(2):166–167.Amar L. Posterior chamber iris claw lens // Am. IntraOcular Implant Society Journ. – 1980. – Vol. 6, № 1. – Р. 27.Amar L. Posterior chamber iris claw lens. Am. Intra-Ocular Implant Society Journ. 1980;6(1):27.Mohr A., Hengerer F., Eckardt C. Retropupillary fixation of the iris claw lens in aphakia. 1 year outcome of a new implantation techniques // Der. Ophthalmologe. – 2008. – Vol. 99, № 7. – Р. 580–583.Mohr A., Hengerer F., Eckardt C. Retropupillary fixation of the iris claw lens in aphakia. 1 year outcome of a new implantation techniques. Der Ophthalmologe. 2002;99(7):580–583.Malbran E. S., Malbran E. Jr., Negri I. Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction // Int. Ophthalmol. – 1986. – Vol. 9, № 2–3. – Р. 151–160.Malbran E. S., Malbran E. Jr., Negri I. Lens guide suture for transport and fixation in secondary IOL implantation after intracapsular extraction. Int Ophthalmol. 1986;9(2–3):151–160. [PubMed: 3522455].Lewis J. S. Ab externo sulcus fixation // Ophthalmic. Surg. – 1991. – Vol. 22, № 11. – Р. 692–695.Lewis J. S. Ab externo sulcus fixation. Ophthalmic Surg. 1991;22(11):692–695. [PubMed: 1792035].Cavallini G. M., Volante V. De Maria M. et al. Longterm analysis of IOL stability of the Lewis technique for scleral fixation // Eur. J. Ophthalmol. – 2015. – Vol. 25, № 6. – Р. 525–528.Cavallini G. M., Volante V., De Maria M. et al. Longterm analysis of IOL stability of the Lewis technique for scleral fixation. Eur J Ophthalmol. 2015;25(6):525–528. [PubMed: 26165323]Khan M. A., Gupta O. P., Smith R. G. et al. Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile // Br. J. Ophthalmol. – 2016. – Vol. 100, № 5. – Р. 638–643.Khan M. A., Gupta O. P., Smith R. G. et al. Scleral fixation of intraocular lenses using Gore-Tex suture: clinical outcomes and safety profile. Br J Ophthalmol. 2016;100(5):638–643. [PubMed: 26319945].Kang H. M., Chung E. J. Late-onset Citrobacter koseri endophthalmitis with suture exposure after secondary intraocular lens implantation // Korean J. Ophthalmol. – 2011. – Vol. 25, № 4. – Р. 285–288.Kang H. M., Chung E. J. Late-onset Citrobacter koseri endophthalmitis with suture exposure after secondary intraocular lens implantation. Korean J Ophthalmol. 2011;25(4):285–288. [PubMed: 21860579].Schechter R. J. Suture-wick endophthalmitis with sutured posterior chamber intraocular lenses // J. Cataract. Refract Surg. – 1990. – Vol. 16, № 6. – Р. 755–756.Schechter R. J. Suture-wick endophthalmitis with sutured posterior chamber intraocular lenses. J Cataract Refract Surg. 1990;16(6):755–756. [PubMed: 2258814].Lewis J. S. Sulcus fixation without flaps // Ophthalmology. – 1993. – Vol. 100, № 9. – Р. 1346–1350.Lewis J. S. Sulcus fixation without flaps. Ophthalmology. 1993;100(9):1346–1350. [PubMed: 8371922].Hoffman R. S., Fine I. H., Packer M. Scleral fixation without conjunctival dissection // J. Cataract Refract. Surg. – 2006. – Vol. 32, № 11. – Р. 1907–1912.Hoffman R. S., Fine I. H., Packer M. Scleral fixation without conjunctival dissection. J Cataract Refract Surg. 2006;32(11):1907–1912. [PubMed: 17081894].Kir E., Kocaturk T., Dayanir V. et al. Prevention of suture exposure in transscleral intraocular lens fixation: an original technique // Can. J. Ophthalmol. – 2008. – Vol. 43, № 6. – Р. 707– 711.Kir E., Kocaturk T., Dayanir V., Ozkan S. B., Dundar S. O., Aktunc T. O. Prevention of suture exposure in transscleral intraocular lens fixation: an original technique. Can. J. Ophthalmol. 2008;43(6):707–711. [PubMed: 19020638].Szurman P., Petermeier K., Aisenbrey S. et al. Z-suture: a new knotless technique for transscleral suture fixation of intraocular implants // Br. J. Ophthalmol. – 2010. – Vol. 94, № 2. – Р. 167–169.Szurman P., Petermeier K., Aisenbrey S., Spitzer M. S., Jaissle G. B. Z-suture: a new knotless technique for transscleral suture fixation of intraocular implants. Br J Ophthalmol. 2010;94(2):167–169. [PubMed: 20139289].Кожухов А. А., Капранов Д. О., Казакова М. В . Наш опыт фиксации заднекамерной ИОЛ после факоэмульсификации катаракты, осложненной нарушением капсульной поддержки хрусталика. Клинические случаи // Росс. офтальмолог. журн. – 2018. – Т. 11, № 2. – С. 54–57. Doi: 10.21516/2072-0076-2018-11-2-54-57.Kozhukhov A. A., Kapranov D. O., Kazakova M. V. Our practice of fixing a posterior chamber IOL after PHACO of the cataract complicated by damaged lens capsule CLINICAL CASES. Russian Ophthalmological Journal. 2018;11(2):54–57. (In Russ.). https://doi.org/10.21516/2072-0076-2018-11-2-54-57.Heilskov T., Joondeph B. C., Olsen K. R. et al. Late endophthalmitis after transscleral fixation of a posterior chamber intraocular lens // Arch. Ophthalmol. – 1989. – Vol. 107, № 10. – Р. 1427.Heilskov T., Joondeph B. C., Olsen K. R., Blankenship G. W. Late endophthalmitis after transscleral fixation of a posterior chamber intraocular lens. Arch Ophthalmol. 1989;107(10):1427. [PubMed: 2803083].Schechter R. J. Suture-wick endophthalmitis with sutured posterior chamber intraocular lenses // J. Cataract. Refract. Surg. – 1990. – Vol. 16, № 6. – Р. 755–756.Schechter R. J. Suture-wick endophthalmitis with sutured posterior chamber intraocular lenses. J Cataract Refract Surg. 1990;16(6):755–756. [PubMed: 2258814].Lockington D., Ali N. Q., Al-Taie R. et al. Outcomes of scleral-sutured conventional and aniridia intraocular lens implantation performed in a university hospital setting // J. Cataract Refract Surg. – 2014. – Vol. 40, № 4. – Р. 609–617.Lockington D., Ali N. Q., Al-Taie R., Patel D. V., McGhee C. N. Outcomes of scleral-sutured conventional and aniridia intraocular lens implantation performed in a university hospital setting. J Cataract Refract Surg. 2014;40(4):609–617. [PubMed: 24560552].Visual acuity after trans-scleral sutured posterior chamber intraocular lens / S. A. Mahmood, S. Zafar, M. Shakir, S. F. Rizvi // J. Coll. Physicians. Surg. Pak. – 2014. – Vol. 24, № 12. – Р. 922–926.Mahmood S. A., Zafar S., Shakir M., Rizvi S. F. Visual acuity after trans-scleral sutured posterior chamber intraocular lens. J Coll Physicians Surg Pak. 2014;24(12):922–926. [PubMed: 25523729].Haszcz D., Nowomiejska K., Oleszczuk A. et al. Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia // BMC Ophthalmol. – 2016. – Vol. 16, № 1. – Р. 50.Haszcz D., Nowomiejska K., Oleszczuk A. et al. Visual outcomes of posterior chamber intraocular lens intrascleral fixation in the setting of postoperative and posttraumatic aphakia. BMC Ophthalmol. 2016;16(1):50. [PubMed: 27145831].Omulecki W., Stolarska K., Synder A. Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses // J. Cataract. Refract. Surg. – 2005. – Vol. 31, № 11. – Р. 2147–2152.Omulecki W., Stolarska K., Synder A. Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lenses. J Cataract Refract Surg. 2005;31(11):2147–2152. [PubMed: 16412930].Price F. W. Jr., Whitson W. E. Suprachoroidal hemorrhage after placement of a scleral-fixated lens // J. Cataract. Refract. Surg. – 1990. – Vol. 16, № 4. – Р. 514–515.Price F. W. Jr., Whitson W. E. Suprachoroidal hemorrhage after placement of a scleral-fixated lens. J Cataract Refract Surg. 1990;16(4):514–515. [PubMed: 2199668].Complications after primary and secondary transsclerally sutured posterior chamber intraocular lens implantation / T. Filipovic, R. Grzetic, M. Merlak, K. Loncarek // Coll. Antropol. – 2005. – № 29 (Suppl. 1). – Р. 37–40.Filipovic T., Grzetic R., Merlak M., Loncarek K. Complications after primary and secondary transsclerally sutured posterior chamber intraocular lens implantation. Coll Antropol. 2005;29(Suppl 1):37–40.Fu A. D., McDonald H. R., Jumper J. M. et al. Recurrent vitreous hemorrhage after sutured posterior chamber intraocular lenses // Retina. – 2004. – Vol. 24, № 2. – Р. 193–198.Fu A. D., McDonald H. R., Jumper J. M. et al. Recurrent vitreous hemorrhage after sutured posterior chamber intraocular lenses. Retina. 2004;24(2):193–198. [PubMed: 15097877].Teichmann K. D., Teichmann I. A. The torque and tilt gamble // J. Cataract. Refract. Surg. – 1997. – Vol. 23, № 3. – Р. 413–418.Teichmann K. D., Teichmann I. A. The torque and tilt gamble. J Cataract Refract Surg. 1997;23(3):413–418. [PubMed: 9159686].Price M. O., Price F. W. Jr., Werner L. et al. Late dislocation of scleral-sutured posterior chamber intraocular lenses // J. Cataract. Refract. Surg. – 2005. – Vol. 31, № 7. – Р. 1320–1326.Price M. O., Price F. W. Jr., Werner L., Berlie C., Mamalis N. Late dislocation of scleral-sutured posteri- or chamber intraocular lenses. J Cataract Refract Surg. 2005;31(7):1320–1326. [PubMed: 16105601].Assia E. I., Nemet A., Sachs D. Bilateral spontaneous subluxation of scleral-fixated intraocular lenses // J. Cataract. Refract. Surg. – 2002. – Vol. 28, № 12. – Р. 2214–2216.Assia E. I., Nemet A., Sachs D. Bilateral spontaneous subluxation of scleral-fixated intraocular lenses. J Cataract Refract Surg. 2002;28(12):2214–2216. [PubMed: 12498862].Bading G., Hillenkamp J., Sachs H. G. et al. Longterm safety and functional outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber lens implantation // Am. J. Ophthalmol. – 2007. – Vol. 144, № 3. – Р. 371–377.Bading G., Hillenkamp J., Sachs H. G., Gabel V. P., Framme C. Long-term safety and functional outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber lens implantation. Am J Ophthalmol. 2007; 144(3):371–377. [PubMed: 17624290]/Buckley E. G. Safety of transscleral-sutured intraocular lenses in children // J. AAPOS. – 2008. – Vol. 12, № 5. – Р. 431–439.Buckley E. G. Safety of transscleral-sutured intraocular lenses in children. J AAPOS. 2008;12(5): 431–439. [PubMed: 18706839].Malta J. B., Banitt M., Musch D. C. et al. Long-term outcome of combined penetrating keratoplasty with scleral-sutured posterior chamber intraocular lens implantation // Cornea. – 2009. – Vol. 28, № 7. – Р. 741–746.Malta J. B., Banitt M., Musch D. C., Sugar A., Mian S. I., Soong H. K. Long-term outcome of combined penetrating keratoplasty with scleral-sutured posterior chamber intraocular lens implantation. Cornea. 2009;28(7):741–746. [PubMed: 19574915].Gabor S. G., Pavlidis M. M. Sutureless intrascleral posterior chamber intraocular lens fixation // J. Cataract. Refract. Surg. – 2007. – № 33. – Р. 1851–1854.Gabor S. G., Pavlidis M. M. Sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg, 2007;(33):1851–1854.Agarwal A., Kumar D. A., Jacob S. et al. Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules // J. Cataract. Refract. Surg. – 2008. – Vol. 34, № 9. – Р. 1433–1438.Agarwal A., Kumar D. A., Jacob S., Baid C., Agarwal A., Srinivasan S. Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg. 2008;34(9):1433– 1438. [PubMed: 18721701].Narang P., Narang S. Glue-assisted intrascleral fixation of posterior chamber intraocular lens // Indian J. Ophthalmol. – 2013. – Vol. 61, № 4. – Р. 163–167.Narang P., Narang S. Glue-assisted intrascleral fixation of posterior chamber intraocular lens. Indian J Ophthalmol. 2013;61(4):163–167. [PubMed: 23685487].Oh S. Y., Lee S. J., Park J. M. Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation // Eye (Lond). – 2015. – Vol. 29, № 6. – Р. 757–763.Oh S. Y., Lee S. J., Park J. M. Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation. Eye (Lond). 2015;29(6):757–763. [PubMed: 25853441].Scharioth G. B., Prasad S., Georgalas I. et al. Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation // J. Cataract. Refract. Surg. – 2010. – Vol. 36, № 2, – Р. 254– 259.Scharioth G. B., Prasad S., Georgalas I., Tataru C., Pavlidis M. Intermediate results of sutureless intrascleral posterior chamber intraocular lens fixation. J Cataract Refract Surg. 2010;36(2):254– 259. [PubMed: 20152606].Comparative evaluation of suture-assisted and fibrin glue-assisted scleral fixated intraocular lens implantation / S. Ganekal, S. Venkataratnam, S. Dorairaj, V. Jhanji // J. Refract. Surg. – 2012. – Vol. 28, № 4. – Р. 249–252.Ganekal S., Venkataratnam S., Dorairaj S., Jhanji V. Comparative evaluation of suture-assisted and fibrin glue-assisted scleral fixated intraocular lens implantation. J Refract Surg. 2012;28(4):249– 252. [PubMed: 22386370].Wilgucki J. D., Wheatley H. M., Feiner L. et al. Oneyear outcomes of eyes treated with a sutureless scleral fixation technique for intraocular lens placement or rescue // Retina. – 2015. – Vol. 35, № 5. – Р. 1036–1040.Wilgucki J. D., Wheatley H. M., Feiner L., Ferrone M. V., Prenner J. L. One-year outcomes of eyes treated with a sutureless scleral fixation technique for intraocular lens placement or rescue. Retina. 2015;35(5):1036–1040. [PubMed: 25549073].

The authors declare that there are no conflicts of interest present.