ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2022-2-286-290ophthalmology-1846Research ArticleОБЗОРЫREVIEWSКонтракционный капсулярный синдром. Обзор. Методы профилактики и лечения. Часть 2Capsular Contraction Syndrome. Review. Methods of Prevention and Treatment. Part 2ИвановД. И.IvanovD. I.

доктор медицинских наук, заведующий II хирургическим отделением, врач-офтальмохирург,

ул. Академика Бардина, 4а, Екатеринбург, 620149

MD, head of II Surgical department, ophthalmosurgeon,

A. Bardina str., 4A, Ekaterinburg, 620149

НикитинВ. Н.NikitinV. N.

врач-офтальмохирург II хирургического отделения,

ул. Академика Бардина, 4а, Екатеринбург, 620149

ophthalmosurgeon of II Surgical department,

A. Bardina str., 4A, Ekaterinburg, 620149

Wladimir.dok@gmail.comАО «Екатеринбургский центр МНТК “Микрохирургия глаза”»РоссияEye Microsurgery Ekaterinburg CenterRussian Federation202230062022192286290Copyright © Иванов Д.И., Никитин В.Н., 20222022Иванов Д.И., Никитин В.Н.Ivanov D.I., Nikitin V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1846

В статье описаны существующие методы профилактики возникновения и прогрессирования фиброза капсульного мешка. Перечислены и структурированы используемые виды лечения. Освещены ключевые аспекты принципов хирургического лечения, направленные на устранение дислокации комплекса «ИОЛ — фиброзированный капсульный мешок». Особое внимание уделено методам шовной и бесшовной фиксации ИОЛ к склере или радужной оболочке. Приведены авторские техники, а также варианты использования фиксационных девайсов, проанализированы риски возможных осложнений. Показано, что контракционный капсулярный синдром является актуальной проблемой, требующей внимания и поиска оптимальных методов лечения в зависимости от комплексной оценки исходного состояния. 

The article describes the existing methods of preventing the occurrence and progression of capsule bag fibrosis. The types of used treatment are listed and structured. Key aspects of the principles of surgical treatment are highlighted. They are aimed to eliminate the dislocation of the IOL-fibrous capsular bag complex. Special attention is paid to the methods of suture and sutureless fixation of the IOL to the sclera or iris. The author’s techniques are given. Variants of fixing devices were used. The risks of possible complications were analyzed. Conclusion: capsular syndrome is an actual problem that requires attention and search for optimal treatment methods, depending on comprehensive assessment of the initial condition. 

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The authors declare that there are no conflicts of interest present.