[Surgery of post-contusion dislocation intraocular syndrome].
The author discusses clinical variants of grave contusions of the eyeball involving the iridolenticular diaphragm and characterized by dislocation of the iris, lens, and vitreous body and subsequent development of secondary glaucoma. This condition is proposed to be singled out as the postcontusion dislocation intraocular syndrome. Sixty-four patients were treated. Variants of surgical repair are proposed, aimed at elimination of the dislocation and maximal repair of the anatomical ratios, including removal of the lens, vitrectomy, and iridoplasty with a circular pupil suture, depending on the severity of posttraumatic changes. Such treatment helped remove the retention disorders and prevent the irreversible changes; high ocular function was preserved in 41.7% patients and a good cosmetic effect attained in the rest cases. Remote results were followed up for up to 10 years. In only 8.3% patients they may be considered unsatisfactory.
Stepanov
A V
AV
D003288:Contusions / Q000150:complications / Q000601:surgery*; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology; D006801:Humans; D007906:Lens Subluxation / Q000601:surgery; D013997:Time Factors; D014792:Visual Acuity
Khirurgiia postkontuzionnogo dislokatsionnogo intraokuliarnogo sindroma.