Open AccessOUR VIEW ON THE ETIOLOGICAL CAUSES OF IRWIN-GASS SYNDROME AFTER CATARACT SURGERY
Author(s) -
І. С. Стебловська,
I. Bezkorovayna,
L.K. Voskresenskaya,
V. V. Ryadnova,
A. V. Pera-Vasylchenko
Publication year - 2019
Publication title -
aktualʹnì problemi sučasnoï medicini: vìsnik ukraïnsʹkoï medičnoï stomatologìčnoï akademì
Language(s) - English
Resource type - Journals
eISSN - 2077-1126
pISSN - 2077-1096
DOI - 10.31718/2077-1096.19.3.83
Subject(s) - medicine , phacoemulsification , etiology , macular edema , cataract surgery , cataracts , ophthalmology , retinal , surgery , visual acuity
The transition to small incision surgery and the introduction of this type of surgery in the period from the late 80's to 2005 enabled to reduce the share of postoperative complications, but despite the significant achievements of this surgical approach, some patients have unsatisfactory postoperative results due to the development of retinal macular oedema. Even at the present stage of the development of medical science, there has been no universally recognized theory of the aetiology and pathogenesis of Irwin-Gass syndrome. Despite the numerous reports on the aspects of macular oedema development following cataract phacoemulsification, a number of issues related to the mechanism of its development and predictability are remaining unexplored, and in particular the role of MMA and morphometric indicators in this process. Therefore, the purpose of this study was to analyze the causes of Irvine-Gass syndrome by comparing and evaluating the development of complications in the pre- and postoperative period, CDE, duration of intraocular surgery, the level of intraocular fluid prostanoids, density of corneal endothelial cells and morphofunctional cells. The enzyme-linked immunosorbent assays have demonstrated that among the leading risk factors for macular edema following surgical treatment of cataract patients are the ultrasound power, the duration of surgery, the state of the prostanid system of vision apparatus and their ratio coefficient. The results obtained can contribute to solving a specific scientific problem of ophthalmology, the prediction of macular edema after surgical treatment for patients with age-related cataracts.