http://repository.usmf.md:80/handle/20.500.12710/24019 2026-04-19T21:53:24Z 2026-04-19T21:53:24Z Zabolotniy, A. Misakyan, K. Bronskaya, A. http://repository.usmf.md:80/handle/20.500.12710/24090 2023-04-10T09:55:55Z 2015-01-01T00:00:00Z

Title: Qualitative analysis of changes in the posterior segment of the eye wich femtosecond laser–assisted cataract surgery Authors: Zabolotniy, A.; Misakyan, K.; Bronskaya, A. Abstract: Purpose: Analysis of the qualitative changes in the posterior eye segment structures – choroid thickness (CT) and distance height of vitreous posterior hyaloid membrane (VPHM) from retina by spectral optical coherence tomography (SOCT) method in femtosecond laser–assisted cataract surgery (FLACS). Methods and Materials: 46 eyes with immature cataract and retinal SOCT possibility before the operation. Average corrected visual acuity – 0.3±0.05; eye length - 22.51±0.9 mm; IOP – 20 mm Hg; age - 65 years. Before and after surgery (1, 3, 5 days), SOCT of vitreoretinal interface and choroid was performed, RTVue XR 100 «Avanti», Optovue. Group 1, 24 patients, ultrasound FEM of cataract, «Stellaris», B&L. Group 2, 22 patients – FLACS, LenSx, Alcon. Capsulorhexix diameter – 4.9-5.2 mm (energy 12.5 μJ). Fragmentation of the lens nucleus by «chop», «cylinder» methods (energy 10-15 μJ). The main corneal incision – 2.5 mm (energy 5 μJ). Phakoaspiration on «Stellaris», elastic IOLs were implanted. FLACS duration – 9-10 minutes, femtolaser effect ≤ 2 minutes. Results: Before the surgery CT in Group 1 was 253.1±62.1 microns. In 1, 3, 5 days after FEM of cataract CT were 310.4, 262.7, 258.1 microns. Distance height of VPHM before the surgery was 400.1 microns. In 1, 3, 5 days after surgery – 505.6, 492.7, 500.3 microns. In Group 2 before the surgery CT was 256.4±60.3 microns. In 1, 3, 5 days after FLACS CT were 333.1, 279.4, 259.1 microns. Distance height of VPHM before the surgery – 366.2 microns. In 1, 3, 5 days after FLACS – 510.8, 506.2, 508.9 microns. Reactive thickening of the choroid after surgery was determined in both groups. Group 1, 1th day – 57.3 microns (22.6%). By the 5th day CT became initial. Distance height of VPHM increased by 105.5microns. By the 5th day the situation was not changed. Group 2, FLACS, thickening of CT per 1 day is 76.7 microns, (29.9%). By the 5th day CT returned to previous values. VPHM was increased by 144.6 microns. By the 5th day the situation was not changed. Conclusion: Increase of TC and distance height of VPHM in the early postoperative period was noticed in the both groups. After FLACS big figures are conditioned apparently by intraoperative vacuum effect and/or sudden IOP changes during femtolaser stage. Return of CT to initial state indicates processes reversibility. Patients with vitreomacular adhesion when FLEC are highly risky of vitreomacular traction.

2015-01-01T00:00:00Z Kaşkaloğlu, Mahmut http://repository.usmf.md:80/handle/20.500.12710/24088 2023-04-07T11:19:30Z 2015-01-01T00:00:00Z

Title: Options in refractive cataract surgery Authors: Kaşkaloğlu, Mahmut Abstract: New so called premium intraocular lenses and technological advances in surgical devices have taken cataract surgery to new level. Today we have more to offer to our cataract patients than ever in terms of efficacy and safety. Advances in intraocular lenses such as aspheric surfaces, toricity, multifocality and ability to be implanted through smaller incisions provide a better visual outcome. The advances in optical biometry and intraocular lens calculations enable us precise IOL power selection and new optical tracking electronic devices enable us to correctly position the toric lenses intraoperatively. Femtosecond laser assisted cataract surgery and new phaco machines make cataract surgery more precise and safer. In this presentation I will review these advances in refractive cataract surgery and reflect my experience.

2015-01-01T00:00:00Z Nicula, Cristina Nicula, D. Popescu, Raluca http://repository.usmf.md:80/handle/20.500.12710/24085 2023-04-07T11:12:02Z 2015-01-01T00:00:00Z

Title: Results in cataract surgery with phacoemulsification at patients with IFIS syndrome Authors: Nicula, Cristina; Nicula, D.; Popescu, Raluca Abstract: Purpose: To establish the tamsulosin effects during cataract surgery at patients with cataract. Material and method: We studied a number of 25 eyes, with cataract, from 17 patients treated with tamsulosin for prostate benign hypertrophia. The patients were operated for cataract by facoemulsification technique with intraocular lens implantation. Results: In 80 % of cases we had a preoperative pupilar diameter of 3 mm. In 50% of cases, during the surgery we had a pupilar constriction in 10 to 15 minutes after the beginning of the surgery. In 85% of cases we had an iris flaccidity and in 15% of cases we had an iris prolapse at sideport levels. In 13 % of cases it was necessary to introduce iris retractors. Conclusions: Cronical use of tamsulosin induce intraoperative difficulties which can increase the number of intraoperative complications.

2015-01-01T00:00:00Z Paduca, Ala Bendelic, Eugen Sorbalo, Inga Garaba, Angela http://repository.usmf.md:80/handle/20.500.12710/24075 2023-04-07T10:34:43Z 2015-01-01T00:00:00Z

Title: Cataract surgical coverage and barriers in the Republic of Moldova Authors: Paduca, Ala; Bendelic, Eugen; Sorbalo, Inga; Garaba, Angela Abstract: Aim: To describe Cataract Surgical Coverage (CSC) and barriers in the Republic of Moldova Methods and Materials: Cataract Surgical Coverage, both for “eyes” as well as “persons”, was calculated from RAAB survey conducted in 111 communities (towns/ villages) in the Republic of Moldova. A total of 3877 subjects out of the 3885 eligible subjects were examined. Data collection was done in selected clusters by house to house visits using a standard methodology of examination. Visual acuity, cause of vision loss, history of cataract surgery and cause of poor vision (if less than 6/60) were assessed. Results: The blindness prevalence in the Republic of Moldova is 1.4% (95%CI 1.0-1.8) -13.693 people, the major causes of blindness beeing untreated cataract (58.2%), The age and sex adjusted prevalence of cataract responsible for bilateral blindness (vision less than 3/60 in better eye) among the study population was 0.65% (males 0.54%, females 0.72%). The age and sex adjusted cataract surgical coverage (CSC) for persons with cataract responsible for vision less than 3/60 was 77.8% with similar rates among both sexes. This study showed that financial problem (mostly indirect costs as travel expenses, etc) was the most important barrier (28,6%) to uptake cataract surgery. Conclusions: The RAAB survey in the Republic of Moldova established that untreated cataract is the major cause of avoidable blindness in this area and the CSC increase with worsening of visual acuity, suggesting that persons undergo surgery in the later stages of cataract.

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