ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2024-3-440-445ophthalmology-2415Research ArticleОБЗОРЫREVIEWSСпособы транссклеральной фиксации интраокулярных линз. Обзор литературыMethods of Transscleral Fixation of Intraocular Lenses (Literature Review)ХоджаевН. С.HodjaevN. S.

Ходжаев Назрулла Сагдуллаевич - доктор медицинских наук, профессор, заместитель генерального директора.

Бескудниковский бульвар, 59а, стр. 1, Москва, 127486

Khojaev Nazir S. - MD, Professor, deputy general director.

Beskudnikovsky Blvd, 59А, p. 1, Moscow, 127486

КислицынаН. М.KislitsynaN. M.

Кислицына Наталья Михайловна - кандидат медицинских наук, директор Института непрерывного профессионального образования

Бескудниковский бульвар, 59а, стр. 1, Москва, 127486

Kislitsyna Natalia M. - PhD, director of the Institute of Continuing Professional Education.

Beskudnikovsky Blvd, 59А, p. 1, Moscow, 127486

СултановаД. М.SulatnovaD. M.

Султанова Динара Мирзабековна врач‑офтальмолог, аспирант.

Бескудниковский бульвар, 59а, стр. 1, Москва, 127486

Sultanova Dinara M. - ophthalmologist, postgraduate.

Beskudnikovsky Blvd, 59А, p. 1, Moscow, 127486

ЗинченкоВ. И.ZinchenkoV. I.

Зинченко Валерия Ивановна врач‑ординатор.

Бескудниковский бульвар, 59а, стр. 1, Москва, 127486

Zinchenko Valeriya I. - resident physician.

Beskudnikovsky Blvd, 59А, p. 1, Moscow, 127486

ФГАУ НМИЦ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииРоссияThe S. Fyodorov Eye Microsurgery Federal State InstitutionRussian Federation202401102024213440445Copyright © Ходжаев Н.С., Кислицына Н.М., Султанова Д.М., Зинченко В.И., 20242024Ходжаев Н.С., Кислицына Н.М., Султанова Д.М., Зинченко В.И.Hodjaev N.S., Kislitsyna N.M., Sulatnova D.M., Zinchenko V.I.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/2415

На сегодняшний день выбор оптимального метода фиксации интраокулярных линз у пациентов со слабостью связочно-капсулярного аппарата хрусталика остается актуальной проблемой офтальмохирургии.

Существуют многообразные способы фиксации интраокулярных линз, среди которых зрачковая, к радужке, к склере в проекции цилиарной борозды, переднекамерная фиксация и другие. Обзор литературы позволил оценить преимущества и недостатки каждого из перечисленных методов. Транссклеральная фиксация является наиболее физиологичной и анатомически правильной. В обзоре рассмотрены наиболее распространенные варианты шовной и бесшовной транссклеральной фиксации.

Отсутствие достаточной доказательной базы по преимуществу того или иного способа фиксации позволяет продолжить поиск в этом направлении.

To date, the choice of the optimal method of intraocular lens fixation in patients with weakness of the ligamentous-capsular apparatus of the lens remains an urgent problem of ophthalmic surgery. There are various methods of intraocular lens fixation, including pupillary, iris, sclera in the projection of the ciliary sulcus, anterior chamber fixation and others. The literature review allowed us to evaluate the advantages and disadvantages of each of the listed methods of intraocular lens fixation. Transscleral fixation is the most physiologic and anatomically correct. The most common variants of suture and sutureless transscleral fixation are discussed in this review. The lack of sufficient evidence on the superiority of this or that method of fixation allows us to continue the search in this direction.

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