#2 (02) 2015

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DEAR COLLEAGUES!

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Details: Published: Thursday, 14 April 2016 10:31; Written by Super User; Hits: 1622

The second issue of the journal “Ophthalmology” welcomes you not with green summer colors, but with bright flashes of golden autumn. I consider it is important that his preparing took place during a significant event – the World Sight Day.

During past time the Editorial Board have been some changes: President of the All India Ophthalmological Society, Chairman of the Foundation of India Ophthalmologists – Prof. D. Ramamurthy became its member.

We pleased to inform that in the near future the web-site of “Ophthalmology” will start to work, where everyone will be able to find answers to questions and get advices from experienced ophthalmologists on the most complicated clinical cases. In addition, we are starting to publish the materials of distance training, which, on our opinion, can be useful for young ophthalmologists and for physicians of family medicine.

We thank all those who welcomed the start of new journal and hope that “Ophthal mology” will eventually win your sympathy and become a reliable helper in your practice.

Best regards and good wishes,
The Chief editor of the international journal “Ophthalmology”
Head of the Department of Surgical Diseases with Ophthalmology KMU UAFM,
The winner of the State Prize of Ukraine, Honored Doctor of Ukraine,
Corresponding member of NAMS of Ukraine, Dr. Med. Sc., Professor
ZOIA VESELOVSKA

Basic principles of congenital cataract surgery in children

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Details: Published: Thursday, 14 April 2016 08:43; Written by Super User; Hits: 2559

Bobrova N.F.
PI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine», Odesa, Ukraine

SUMMARY

Introduction. Modern scientific and technical progress, which led to the appearance of aspiration-irrigation-cutting equipment, microscopes with coaxial lighting, foldable intraocular lens (IOL), viscoelastics, cartridge-injection devices, etc., causes the high efficiency of cataract surgery. Small incision phacoemulsification with endocapsular foldable IOL implantation has become the «Gold standard» of senile cataract surgery in adults.

Standardization of congenital cataracts surgical techniques in pediatric practice is still in its formative stages. Discrepancies determine by age peculiarities of eye in general and lens in particular, and considerable congenital cataracts polymorphism, which are often combined with associated anomalies of the neighbouring structures.

The purpose. To analyse of contemporary literature data and own surgical experience for basic principles of congenital cataracts surgery in children determination.

Results. On the grounds of the current literature data, analysis of Filatov’s pediatric ophthalmology school and own 30-year experience, the basic principles of pediatric congenital cataracts surgery were formulated: unilateral surgery, anterior, basicly limbal approach, small tunnel incision (2.2–2.75 mm), viscoelastic usage, anterior manual capsulorhexis, lens content phacoaspiration-irrigation, endocapsular hydrophobic foldable IOL implantation, suture incisions fixation.

Conclusion. The article presents compelling evidence of the international community of effectivity improvement of congenital cataracts surgery, which may be the rationale for the creation of unified Ukrainian treatment protocol of children with this disorder.

Keywords: congenital cataracts, children, surgery, small tunnel incisions, phacoaspirationirrigation, endocapsular implantation, the foldable hydrophobic IOL.

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Basic principles of congenital cataract surgery in children

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