Physiotherapy was administered to 84 patients aged 59-78 years with toxic
allergic reaction in the eye after extracapsular
cataract extraction with implantation of
intraocular lenses (IOL). The patients were divided into 4 groups. Group 1 (n = 15) were treated by
fibrinolysin magnetophoresis, group 2 (n = 17)
lidase magnetophoresis, group 3 (n = 28) lecozyme magnetophoresis, and group 4 (n = 24) collalysin magnetophoresis. Treatment started on days 3-5 after surgery. Magnetophoresis was carried out using Russian Gradient-1 device, generating a low-frequency magnetic field of 10-12 mT, 10-12 min exposure. For patients with pronounced
iridocyclitis and
uveitis,
enzyme magnetophoresis was supplemented with
atropine, adrenalin, and
calcium chloride electrophoresis (with monitoring the pupil size). Comprehensive treatment resulted in complete resolution of exudation in the anterior and posterior segments of the eye, hypopyon, loosening and resorption of anterior and posterior synechiae, the vitreous body grew more transparent, visual acuity improved in 91.1% patients (coarse dystrophic changes in the central zone of the fundus oculi were detected in 8.9%). Magnetophoresis with
fibrinolysin and
lidase is most effective in patients with toxic
allergic reaction during the early periods after
cataract extraction with IOL implantation, while in later periods magnetophoresis with lecozyme and collalysin should be preferred. The efficacy of collalysin is not inferior to that of lecozyme, but its effect is more mild and the
drug causes no
allergic reactions. Magnetophoresis with
mydriatics (with monitoring the pupil size) and
calcium chloride is recommended for all cases.