Open AccessModern possibilities of optical reconstructive surgery in patients after removal of tumor of iridociliary zone
Author(s) -
N.S. Khodzhaev,
N.P. Sobolev,
Y.V. Shkandina,
M.A. Soboleva
Publication year - 2021
Publication title -
oftalʹmohirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2312-4970
pISSN - 0235-4160
DOI - 10.25276/0235-4160-2021-2-48-51
Subject(s) - medicine , phacoemulsification , reconstructive surgery , cataract surgery , ophthalmology , surgery , visual acuity , choroid , retina , physics , optics
Choroid tumors constitute 2/3 of all intraocular tumors, out of which 23% are tumors of the iris and the ciliary body, and the rest are tumors of the choroid. After removing the tumor of the iridociliary zone (ICZ) it is necessary to perform optical reconstructive surgery to reduce light aberrations and increase visual functions.Purpose. To identify key features of the complex rehabilitation of patients after removal of the ICZ tumor.Material and methods. The clinical and functional results of the complex rehabilitation of 12 patients (12 eyes) aged from 35 to 84 years (average 66 years) were studied at least 1 year after removal of the ICZ tumor. The area of the iris defect before the reconstructive surgery ranged from 15% to 55%. Preoperative uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) were 0.26 ± 0.19 (from 0.01 to 0.6) and 0.46 ± 0.22 (from 0.1 to 0.8) respectively. All patients were underwent phacoemulsification of cataract and implantation of the iris-lens diaphragm.Results. After the reconstructive surgery, UCVA and BCVA increased:0.5 ± 0.17 (from 0.2 to 0.7) and 0.61 ± 0.27 (from 0.3 to 0.9) respectively. Undesirable optical effects were decreased, and patients were satisfied with the cosmetic result.Conclusion. The presented algorithm of optical reconstructive surgery after removal of the ICZ tumor creates necessary conditions for increasing postoperative functional results and improving the quality of life of these patients.Key words: tumor of the iridociliary zone, iris-lens diaphragm, optical reconstructive surgery, phacoemulsification of cataract.