Faco iol. Phacoemulsification of a cataract with implantation of iol. Laser phacoemulsification of cataracts

An ultrasonic intraocular lens is the most effective, reliable and painless way to get rid of cataracts once and for all and ensure good vision.

Cataract surgery recognized by the World Health Organization the only fully rehabilitative operation among all surgical interventions. It is cataract phacoemulsification that allows you to completely restore the visual functions lost due to cataract.

Cataract removal in the Excimer clinic, Moscow

For the treatment of cataracts in the Excimer clinic in Moscow, phacoemulsification with implantation of an intraocular lens (IOL) is used - ultrasonic phacoemulsification or phacoemulsification with femtolaser support. The ultra-modern equipment of operating rooms, the experience of ophthalmic surgeons and the high-tech IOL models used - this is what makes it possible to rid the patient of cataracts in 10-15 minutes and achieve the highest possible visual characteristics without any restrictions on visual and physical exertion later.

Surgical treatment at the Excimer clinic is painless, fast and effective. The use of modern equipment allows cataract surgery to be carried out in the most gentle way, while obtaining high-quality vision. During a short recovery period, patients do not lose their independence and do not need additional care, postoperative restrictions are short-lived and minimal.

Cost of basic services

How is cataract lens replacement surgery performed?

The essence of cataract surgery is to remove the clouded lens that prevents the flow of light rays to the retina, and replace it with an artificial one - an intraocular lens.

Removal of a clouded lens

Intraocular lens implantation

Implanted intraocular lens

Stages of the phacoemulsification operation

1. Through a micro-incision in the cornea with a size of only about 1.8 mm, the clouded lens is softened and emulsified by ultrasound, and then removed from the eye by aspiration (suction). It is this part of the operation that is called "phacoemulsification".
2. With the help of an individual injector, an artificial lens is introduced into the capsule, where the natural lens of the eye was previously located, through the same micro-access, which is a flexible intraocular lens, an optical device equipped with special supporting elements, “antennae”, with which the lens will be held in the correct position.
3. The folded lens unfolds on its own and is securely fixed in the lens capsule, now it will be responsible for the refraction of light rays and their focusing on the retina of the eye. After completion of all manipulations, the microaccess is self-sealing; suturing after such a surgical intervention is not required.

Benefits of ultrasonic cataract phacoemulsification

Unlike the previously used extracapsular cataract extraction, which required a hospital stay and a long rehabilitation period with many restrictions, ultrasonic phacoemulsification is an incomparably more gentle method of cataract treatment.

Advantages of the method:

• the operation takes place in the mode of one day, on an outpatient basis, that is, without the need to stay in a hospital;
• all surgical manipulations take only about 15 minutes and are carried out through a micro-incision about 1.8 mm in size;
• the intervention does not require anesthesia, it takes place using local drip anesthesia, which, as a rule, is well tolerated by patients of different ages;
• implantable intraocular lenses of the latest generation allow you to completely get rid of glasses, providing maximum quality of vision at any distance;
• the operation takes place in the mode of rapid rehabilitation with a minimum of restrictions.

To do this, through a micro-access in the cornea with a size of only 1.8 mm, the clouded lens is softened and emulsified with the help of ultrasound, and then removed from the eye. A flexible intraocular lens is introduced into the capsule, where the lens was previously located, through the same access using an individual injector. The lens is inserted into the eye in a folded state, but unfolds itself inside the eye and is securely fixed. The micro-access is subsequently self-sealing, so no sutures are required.

The patient's vision returns, as a rule, already in the operating room. After the operation is completed, the patient is examined by a doctor, then you can go home, having received an individual schedule of postoperative visits.

Ultrasonic cataract phacoemulsification is a perfect and proven technology over the years. Its advantages for the patient: speed, comfort, safety and the result - getting rid of cataracts. However, behind the seeming ease of implementation, there are numerous technical developments, the skill of an ophthalmic surgeon and an extremely clear organization of the process.

The results of cataract surgery in the Excimer clinic

• Getting rid of cataracts once and for all.
• Achievement of the maximum possible visual characteristics, based on the state of the patient's visual system.
• Rapid Recovery: Fully vision returns to normal within a few days.
• The seamless technique makes it possible in the future not to limit physical and visual loads.
• Implantable lenses from the world's leading manufacturers make it possible to correct age-related farsightedness, myopia, astigmatism, if they were before the development of cataracts.

To achieve the best visual characteristics after surgery, the Excimer clinic offers the most advanced technology for performing ultrasonic phacoemulsification - cataract surgery using a surgical femtosecond laser. This technology is the choice of those patients who place high demands on the quality of visual life.

Getting rid of cataracts is really possible! Call about the possibilities of cataract treatment at the Excimer clinic.

Cost of cataract surgery

The price of a cataract surgery at the Moscow Excimer clinic varies depending on a combination of factors: what stage of the development of the disease (early stage or complicated form), whether there are concomitant vision problems that you would like to solve with a lens replacement, whether femtolaser support for cataract phacoemulsification.

Cost of basic services

Its effectiveness is confirmed by the results of millions of successful operations that are carried out annually both in the USA and Europe, and in Russia. Therefore, it is this technique that is recommended to most patients by ophthalmologists-surgeons of the Spektr clinic.

When is ultrasonic cataract phacoemulsification indicated?

The main manifestations of cataracts are:
feeling of fog before the eyes;
decreased visual acuity;
glare from bright light sources;
change in the color of the pupil (the appearance of a gray, whitish or yellowish tint).

When such symptoms appear, it is important to contact a competent ophthalmologist as soon as possible. As the disease progresses without timely measures, vision will continue to deteriorate until complete blindness.

Consists in . After a comprehensive examination and clarification of all the nuances, the doctor of the Spektr clinic will decide on the timing when it will be necessary to perform the operation. The best result is usually achieved in the treatment of immature cataracts.

Benefits of phacoemulsification

Naturally, the result of ultrasonic phacoemulsification largely depends on the quality of the materials and equipment used, as well as the skills of the doctor. Experienced and attentive ophthalmic surgeons work with the most modern equipment and high-quality IOLs at the Spectrum clinic, so you can be sure of the success of the operation.

How is ultrasonic cataract phacoemulsification performed?

The Spectr clinic uses high-quality intraocular lenses from trusted manufacturers, which minimizes the likelihood of any complications in the future.

The selection of the optimal artificial lens is carried out strictly individually, depending on the characteristics of the condition of each patient.

Rehabilitation after ultrasonic cataract phacoemulsification

16.06.2017

Cataract is an eye disease, the main essence of which is the gradual clouding of the lens, which sooner or later leads to an absolutely painless decrease in acuity or even complete loss of vision. The only way to change this situation is to remove the clouded lens and install an artificial intraocular lens (IOL) in its place. Phacoemulsification is one of the types of cataract surgery. This type of surgical treatment of the disease is widespread due to its effectiveness and a small number of complications. The use of ultrasonic energy in anatomically rather limited structures of the anterior segment of the eye is an important advantage of phacoemulsification with IOL implantation over other methods of surgical treatment. This operation is becoming more and more popular as it is safe, easy to perform and gives excellent results.

Phacoemulsification in the treatment of cataracts

Methods of surgical treatment of cataracts have changed dramatically over the past three decades. Most clinics do not use intracapsular cataract extraction, as the preferred method of treating this disease is extracapsular extraction. Small incisions have recently become the standard in eye microsurgery and phacoemulsification is now the method of choice for most ophthalmic surgeons. Along with these advances, there are now improved materials and designs for implantable intraocular lenses (IOLs) during surgery. Thanks to the use of modern technology and equipment, this operation is characterized by increased safety and efficiency.

Improved surgical techniques for removing the anterior lens capsule have reduced the incidence of both intraoperative and postoperative capsular complications. Cataract removal, previously performed primarily in the anterior chamber, is now performed in the posterior chamber, reducing the risk of damage to the corneal endothelium during surgery. Folding intraocular lenses fit into the eye through a smaller incision, further reducing vision recovery time.

The purpose of the operation and indications for phacoemulsification

The main goal of cataract phacoemulsification is to improve vision and, as a result, greater comfort when performing such routine manipulations as reading books or driving a car. Previously, it was believed that the operation should be performed only after the full maturation of the cataract, people suffered from poor vision for a long time. Now the decision on surgical treatment is made mutually by the doctor and the patient and can be carried out at any stage of the disease.

What to expect from the procedure

Anesthesia during phacoemulsification is mainly local - eye drops with the appropriate drug or retrobulbar administration of painkillers. During the intervention, the person does not feel pain, but at the same time is conscious, there may be slight discomfort.

The whole procedure usually takes 20-30 minutes. At the end of work, the patient is observed for some time in the clinic, after which they are allowed to go home with the appropriate medical recommendations.

Postoperative recovery

Recovery of vision after cataract phacoemulsification with IOL implantation occurs gradually. At first, dark spots are visible, which disappear within a few weeks. Fears should not be caused by increased photosensitivity and the presence of small hematomas. After 1-2 days, you can return to your normal activity, sometimes doctors recommend wearing special glasses to protect your eyes.

Regular patient visits to the clinic are required to monitor the position of the implant and detect complications early. After phacoemulsification, the main part notes a significant increase in visual acuity and a better perception of colors. Intraoperative IOL placement can also solve other problems, such as eliminating the need to correct myopia. After cataract phacoemulsification has been performed, people return to their normal lives, performing daily tasks such as reading, driving a car, or playing sports. Before the intervention, they were deprived of all this due to pathological clouding of the lens and loss of clarity of vision.

Possible complications after surgery include the addition of a bacterial infection (endophthalmitis), cystic macular edema, corneal edema, hemorrhage, and retinal detachment. Cataract phacoemulsification with IOL implantation is currently a modern high-tech intervention that significantly reduces the risk of adverse reactions and restores good vision to patients for a long time.

Prices for cataract removal:

Cataract phacoemulsification with IOL implantation is a gentle and effective method in which the affected lens is replaced with an intraocular lens. As a result of the operation performed without suture (as opposed to cataract extraction through large incisions), vision is completely restored, there is no need to limit yourself later.

Indications for phacoemulsification surgery

Preparatory stage

Any focus of infection must be eliminated, as it can have a negative impact on the course of the postoperative period.
Be sure to conduct a thorough examination of the ophthalmologist and anesthetist.

Procedure for cataract phacoemulsification

• A small incision (microaccess) is made in the cornea, through which all manipulations are carried out.
• A special microsurgical device - phacoemulsifier turns the natural lens into an emulsion and removes it outside the eye.
• A new, artificial, folded intraocular lens is inserted into the capsule where the lens was previously located. After the introduction, it unfolds and is fixed.

Scheme of cataract phacoemulsification operation

1. The lens is broken into small pieces and removed
2. An artificial lens is placed

Benefits of ultrasonic cataract phacoemulsification

• The patient gets rid of the cataract.
• Vision is restored as much as possible, taking into account the state of the structures of the eye.
• The operation is performed without hospitalization, in one day.
• The patient does not require care - there is no loss of independence.
• Vision is restored immediately, and the maximum effect of the operation appears after a few days.
• The rehabilitation period is minimal.
• In the future, no restrictions are required - neither physical nor visual.
• Local anesthesia is used, which is well tolerated by patients of any age.
• Ultrasonic phacoemulsification of cataracts can be performed with clouding of the lens at any stage of the development of the disease, including the earliest.
• The IOL models used make it possible to eliminate astigmatism, hyperopia or myopia, if they occurred before the onset of the disease.

Contraindications

• The patient has an exacerbation of chronic diseases;
• The patient is in critical condition;
• In the area of ​​​​the eyelids and eyes there is an inflammatory process or there is an oncological disease;
• The patient has a mental disorder.

Possible complications after phacoemulsification

Recovery period

• Give large visual loads during the first two weeks;
• Physically influence the operated eye - rub it or press it;
• lift weights;
• Fall asleep lying on the side of the operated eye;
• Use decorative cosmetics;
• Smoking and drinking alcohol.

- an ongoing process during which the lens gradually becomes cloudy, since the proteins in the eye are prone to destruction. The result of this disease is that a person loses the ability to see clearly and clearly. This disease at the initial stage can be cured by medication, but with development, it will be possible to rely only on surgery.

The clouding process cannot be prevented in any way, as doctors say, this is an irreversible process. Therefore, one of the radical methods is cataract extraction with IOL implantation, that is, the replacement of a clouded lens with an artificial one. This is what I want to talk about in this article, talk about the indications and contraindications of surgery, and also reveal the features and benefits of surgical intervention in general.

Cataract removal with IOL implantation is considered the oldest method in surgery. The method is used for both adults and children (code 1228). History says that the technique was used in ancient Egypt, but due to the fact that technology has changed for the better, now it is much easier to carry out the procedure.

Important! Cataract extraction involves removing the clouded lens and replacing it with an IOL designed to fully function in place of a natural lens.

Indications for surgical intervention are the following factors:

• weakness of the ligamentous apparatus in a patient;
• observation of partial detachments in the ligaments of the eye;
• narrowness of the pupils and the impossibility of their expansion;
• overripeness of the disease, when the visual apparatus swells or becomes covered with a film;
• diagnosed;
• , which is caused by the disintegration of the lens.

Now you know what it is, for what indications the operation is performed, etc.

Varieties of surgical intervention

Divided into two main varieties:

1. Extracapsular. It is done with the help of incisions on the corneal layer of the organ of visual vision. Through the incision, the doctor removes the affected lens. During the operation, its capsule is preserved, and in the future it will serve as a natural barrier, which should be between the artificial lens and the place where the vitreous body is located.
2. Intracapsular. Doctors implant an intraocular lens using one of the special instruments called the Cryo Extractor. Thanks to the technique, the specialist has the opportunity to freeze the lens, make it very hard, with the help of which it is easy to remove it from the organ of vision. There is a minus in this method - the removal of the capsule itself, which freezes to the body of the lens.

Important! The latter technique is dangerous because during extraction there is a real opportunity to leave particles of the lens inside the eye, which in the future can cause various negative pathological abnormalities.

As you can see, the methods of intervention differ only in what tools the doctor performs the operation.

Pros and cons of surgery

One of the advantages of surgery is that with PPHST syndrome, surgery is possible as well as with any other complex ophthalmic pathologies. True, the doctor is obliged to carry out a number of diagnostic measures before the procedure - to examine the eyeball, to conduct a study of the visual apparatus as a whole. So, one thing can be said about cataract extraction, that the procedure has many advantages:

• there is no need to use expensive innovative surgical instruments, so the operation will be much cheaper than other types of similar procedures;
• the lens capsule in any case remains in its usual place (an intraocular lens is inserted into it);
• the presence of wide opportunities, for example, it is possible with this method to immediately overcome other concomitant eye diseases;
• the possibility of therapy if the lens is too hard.

Among the shortcomings are:

• rather long rehabilitation periods, reaching 4 or more months;
• in any case, the doctor will have to suture the stratum corneum, which is associated with the fact that the patient can get complications during the implantation of the artificial lens and the inflammatory process;
• another complication is astigmatism and other visual impairments;
• it is quite possible that a secondary cataract is progressing, developing from those particles of the lens that were not removed - as a result, they will grow and fill the entire free area in the eye;
• the possibility of getting myopia or astigmatism during the procedure.