Phacoemulsification Of Cataract In The Case Of Inconsistence Of Capsular Bag

to analyze the comparative results of phacoemulsification of complicated cataracts with implantation of various types and types of fixations of intraocular lenses

The object of the study were the results of phacoemulsification of 48 patients (51 eyes) with complicated cataracts and weakness of the ligamentous apparatus of the lens or intraoperative rupture of the posterior lens capsule

Patients were divided into two homogeneous  groups:  I - study group comprises patients that were performed cataract phacoemulsification with implantation of RSP-III IOL using an injector through a 2.4 mm small self-sealing incision: - 21 patients (23 eyes) and II - control group cataract phacoemulsification with anterior chamber IOL implantation with an widening  of the incision up to 6.0 mm. - 27 patients (28 eyes)

Analysis of the results of our studies showed that visual acuity on the first day after surgery was 0.4 ± 0.1 in group I and 0.3 ± 0.1 in group II; on the 10th day after the operation, visual acuity was at a level of 0.5 ± 0.1 in group I (study) and 0.3 ± 0.1 in group II (control); visual acuity after 1 month was 0.5 ± 0.1 in group I (study)  and 0.3 ± 0.2 in group II (control); 6 months after surgery, visual acuity was 0.7 ± 0.1 in group I (study)  and 0.4 ± 0.2 in group II (control). By the end of the first year of observation, visual acuity was 0.8 ± 0.1 in group I (study)  and 0.5 ± 0.1 in group II (control) 

1. If there is a rupture of the posterior capsule during cataract phacoemulsification or failure of the ligamentous apparatus of the lens of various origins, implantation of the RSP-III IOL using an injector through a small self-sealing incision is the method that should be opted for.
2. The implantation of the RSP-III IOL with the help of an injector allows achieving a stable position of the IOL in the early and long-term observation periods as well as high visual acuity with minimal values ​​of corneal astigmatism.