Improving the quality of visualization in phacoemulsification in the “triple procedure”
- Authors: Osipyan G.A.1, Mamikonyan V.R.2, Shakhbazyan N.P.1, Khraistin K.1
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Affiliations:
- M.M. Krasnov Research Institute of Eye Diseases
- Lomonosov Moscow State University
- Issue: Vol 17, No 2 (2024)
- Pages: 95-101
- Section: Case reports
- URL: https://journals.rcsi.science/ov/article/view/263007
- DOI: https://doi.org/10.17816/OV624311
- ID: 263007
Cite item
Abstract
The so-called “triple procedure,” including penetrating keratoplasty in combination with cataract removal and posterior chamber IOL implantation, is the preferred treatment method for patients with combined pathology of the cornea and lens. Methods to reduce intraoperative complications and ensure rapid visual rehabilitation in patients with concomitant conditions are of particular importance when planning such surgeries. In this article, we describe a clinical case of a triple procedure, which involves a lamellar dissection of the damaged cornea of the recipient followed by exposure of the residual corneal stroma to a 40% glucose solution in combination with a viscoelastic, which allowed for optical clearing of the stroma and improved visualization of the anterior chamber structures for phacoemulsification with posterior chamber IOL implantation. This approach represents a safer alternative to the “cataract stage” of surgery, performed under “open sky” conditions.
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##article.viewOnOriginalSite##About the authors
Grigory A. Osipyan
M.M. Krasnov Research Institute of Eye Diseases
Email: gregor79@yandex.ru
ORCID iD: 0000-0002-1056-4331
SPIN-code: 1039-0470
MD, Dr. Sci. (Medicine)
Russian Federation, MoscowVardan R. Mamikonyan
Lomonosov Moscow State University
Email: Vartan51@mail.ru
MD, Dr. Sci. (Medicine)
Russian Federation, Moscow
Nare P. Shakhbazyan
M.M. Krasnov Research Institute of Eye Diseases
Author for correspondence.
Email: nare_shakhbazyan@mail.ru
ORCID iD: 0000-0002-1857-6425
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowKhusam Khraistin
M.M. Krasnov Research Institute of Eye Diseases
Email: khrestin89@mail.ru
ORCID iD: 0000-0001-6837-8008
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowReferences
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