[Intracapsular implantation of intraocular lenses in complicated cataracts]

A total of 75 patients with various types of cataracts, 35 of these (37 eyes) with complicated cataracts, were examined. Patients with a history of antiglaucoma surgery were not included in the study. Extracapsular extraction of complicated cataracts with intercapsular implantation and suture-free fixation of B. N. Alexeyev's IOL-IKB A004 were carried out after B. N. Alexeyev. The patients were examined using keratometry, ophthalmometry, visometry, echography and echobiometry, biomicroscopy, ophthalmoscopy, pupil test, tonometry, electron tonography, refractometry, gonioscopy, and entoptic phenomena. The results indicate the possibility of extracapsular cataract extraction with intracapsular implantation of IOLs after Alexeyev in patients with complicated cataracts. The incidence of intra- and postoperative complications in patients with complicated cataracts concomitant with myopia, glaucoma, uveitis, and diabetes mellitus did not differ from that in patients with uncomplicated cataracts concomitant with the same conditions. Moreover, the incidence of postoperative complications was far less in comparison with implantation of other lenses, as reported by some authorities.