ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2023-2-352-357ophthalmology-2119Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCASE REPORTФакоэмульсификация катаракты, осложненная подвывихом хрусталика, передним мегалофтальмом, центральной облаковидной дистрофией роговицы Франсуа и миопией высокой степени. Клинический случайPhacoemulsification Complicated Subluxation of the Crystalline Lens, Anterior Megalophthalmos, Central Cloudy Corneal Dystrophy of Francois and High Myopiahttps://orcid.org/0000-0001-5666-3493МалюгинБ. Э.MalyuginB. E.

Малюгин Борис Эдуардович - доктор медицинских наук, профессор, заместитель генерального директора по научной работе

Бескудниковский бульвар, 59а, Москва, 127486, Российская Федерация

Делегатская ул., 20/1, Москва, 127473, Российская Федерация

Malyugin Boris E. - MD, Professor, deputy director general (R&D, Edu)

Beskudnikovsky blvd, 59A, Moscow, 127486, Russian Federation

Delegatskaya str., 20/1, Moscow, 127473, Russian Federation

МеньшиковА. Ю.MenshikovA. Yu.

Меньшиков Александр Юрьевич - врач-офтальмолог высшей категории отдела  трансплантационной и оптико-реконструктивной хирургии переднего отрезка глазного яблока

Бескудниковский бульвар, 59а, Москва, 127486, Российская Федерация

Men’shikov Aleksandr Yu. - ophthalmologist of the Transplantation and optical reconstructive surgery of the anterior segment of the eyeball department

Beskudnikovsky blvd, 59A, Moscow, 127486, Russian Federation

https://orcid.org/0000-0001-9918-0459ИсабековР. С.IsabekovR. S.

Исабеков Руслан Сражудинович - врач-ординатор отдела трансплантационной и оптико-реконструктивной хирургии переднего отрезка глазного яблокаБескудниковский бульвар, 59а, Москва, 127486, Российская Федерация

Isabekov Ruslan S. - postgraduate of the Transplantation and optical reconstructive surgery of the anterior segment of the eyeball department

Beskudnikovsky blvd, 59A, Moscow, 127486, Russian Federation

isabekov-99@mail.ruhttps://orcid.org/0000-0002-9109-2400КалинниковаС. Ю.KalinnikovaS. Yu.

Калинникова Светлана Юрьевна - врач-офтальмолог, аспирант отдела трансплантационной и оптико-реконструктивной хирургии переднего отрезка глазного яблока

Бескудниковский бульвар, 59а, Москва, 127486, Российская Федерация

Kalinnikova Svetlana Yu. - postgraduate of the Transplantation and optical reconstructive surgery of the anterior segment of the eyeball department

Beskudnikovsky blvd, 59A, Moscow, 127486, Russian Federation

https://orcid.org/0000-0003-1756-7911ТкаченкоИ. С.TkachenkoI. S.

Ткаченко Иван Сергеевич - врач-офтальмолог, аспирант отдела трансплантационной и оптико-реконструктивной хирургии переднего отрезка глазного яблока

Бескудниковский бульвар, 59а, Москва, 127486, Российская Федерация

Tkachenko Ivan S. - postgraduate of the Transplantation and optical reconstructive surgery of the anterior segment of the eyeball department

Beskudnikovsky blvd, 59A, Moscow, 127486, Russian Federation

ФГАУ НМИЦ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской Федерации; ФГБУ ВО «Московский государственный медико-стоматологический университет имени А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииРоссияS. Fyodorov Eye Microsurgery Federal State Institution; A. Evdokimov Moscow State University of Medicine and DentistryRussian FederationФГАУ НМИЦ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииРоссияS. Fyodorov Eye Microsurgery Federal State InstitutionRussian Federation202303072023202352357Copyright © Малюгин Б.Э., Меньшиков А.Ю., Исабеков Р.С., Калинникова С.Ю., Ткаченко И.С., 20232023Малюгин Б.Э., Меньшиков А.Ю., Исабеков Р.С., Калинникова С.Ю., Ткаченко И.С.Malyugin B.E., Menshikov A.Y., Isabekov R.S., Kalinnikova S.Y., Tkachenko I.S.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/2119

Представлен клинический случай хирургического лечения и расчета ИОЛ при двусторонней катаракте, осложненной подвывихом хрусталика, передним мегалофтальмом, центральной облаковидной дистрофией роговицы Франсуа, миопией высокой степени. На одном глазу при факоэмульсификации имплантирована моноблочная ИОЛ в капсульный мешок, на втором — выполнена фиксация 3-частной ИОЛ узловыми швами к радужке. При выборе формулы для расчета ИОЛ наиболее близкой к полученным послеоперационным данным рефракции оказались формулы Haigis и Barret II Universal.

A case is described of a 47-old man with anterior megalophthalmos, high myopia (>31.0 mm) and who underwent bilateral consecutive phacoemulsification. In addition a bilateral dislike corneal opacity was present which was classified as central cloudy corneal dystrophy of Francois. Special attention must be paid to both surgical technique and IOL selection. In the first eye a single-piece foldable IOL was implanted into a capsule bag, in the second eye three-piece foldable IOL were sutured fixed to the iris. In the meantime, phacoemulsification in patients with dystrophy of Francois safe and does not lead to progression. We calculated the IOL power for our case with the Haigis and Barret II Universal formula retrospectively.

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