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A combination of energy methods of treatment in the treatment of induced corneal dystrophy

Written by Skachkov D.P., Drovnyak D.Ya., Shtilerman A.L.

  UDK: 617.713–089.843–089.168.1:616–085.831 | Pages: 82–84 | Full text PDF | Open PDF 

Annotation:

Objective. Secondary endothelial-epithelial dystrophy (EED) of the cornea is one of the terrible complications of surgical interventions on the eyeball and severe inflammatory diseases of the cornea. The combined effect of cross-linking of corneal collagen followed by phototherapeutic keratostromectomy allows to be considered pathogenetically justified in the treatment of induced EED.
Methods. 36 patients (36 eyes) were observed under observation with III stage of EED. In all patients, the EED developed after cataract extraction using various
methods. It corresponded to the third stage of the EED. Of all patients, two observation groups were formed. The first (control) group consisted of 18 people who underwent cross-linking of corneal collagen. In 18 patients in the second (main) group, corneal collagen cross-linking was combined with phototherapeutic keratostromectomy.
Results. The timing of completion of epithelization in the control group varied from 7 to 14 days, in the main – from 6 to 10 days. Mean pachymetry values after 1 month in the control group were 754±33 μm and in the main – 647±48 μm. The visual acuity is higher in the patients of the main group.
Conclusions. The combination of a krosslinking of corneal collagen and a phototherapeutic keratostromektomiya, is an effective method of treatment of the induced EED of the cornea in the III stage of a disease and renders lasting medical effect as in the early and late postoperative period.

Links to authors:

D.P. Skachkov1, D.Ya. Drovnyak1, A.L. Shtilerman2
1 Medline MITSAR (52 Kalinina St. Blagoveschensk 675000 Russian Federation),
2 Amur State Medical Academy (95 Gorkogo St. Blagoveschensk 675000 Russian Federation)


1. Gundorova R.A., KiselevaO.V., Sorokoletova N.V. Application of the amniotic membrane in ophthalmology: a review of the literature // Refractive Surgery and Ophthalmology. 2007. No. 2. P. 27–31.
2. Gundorova R.A., Neroev V.V., Vorobyova M.A. Microinvasive descemetoplasty-transplant descemet membrane and endothelium through a 2.0 mm incision // Russian National Ophthalmologic Forum: Collected scientific works. Vol. 2. Moscow, 2009. P. 275–277.
3. Djuraeva Sh.U., Gelmanova T.I. The first experience of amniotic membrane transplantation in the treatment of various diseases of the cornea // IX Congress of Ophthalmologists of Russia: Theses of reports. Moscow, 2010. P. 304.
4. Egorov V.V., Posvalyuk E.D., Sorokin E.L. The search for the possibility of increasing the effectiveness of treatment of severe induced corneal dystrophies by the method of excimer surgery // Ophthalmology. 2008. Vol. 5, No. 3. P. 35–40.
5. Kasparov A.A., Trufanov S.V. Use of a preserved amniotic membrane to reconstruct the surface of the anterior segment of the eye // Ophthalmology Herald. 2003. No. 3. P. 45–47.
6. Kasparov A.A., Kasparova E.A., Trufanov S.V. Postoperative bullous keratopathy: transplantation and non-transplantation methods of treatment // IX Congress of Ophthalmologists of Russia: Theses of reports. Moscow, 2010. P. 307.
7. Kurenkov V.V., Fedorova A.A., Kasparov A.A. Features of corneal healing after excimer laserkeratectomy with bullous keratopathy // The Volga Dawns: Mat. conf. Samara, 1998. P. 122–123.
8. Mamikonyan V.R., Trufanov S.V., Osipyan G.A. Modern technologies of corneal transplantation // IX Congress of Ophthalmologists of Russia: Theses of reports. Moscow, 2010. P. 311.
9. Moroz Z.I., Tahchidi H.P., Kalinnikov Yu.Yu. Modern aspects of keratoplasty // Fedorovskiye Chteniya – 2004. Moscow, 2004. P. 280–287.
10. Moroz Z.I. Modern directions of surgical treatment of corneal pathology // IX Congress of Ophthalmologists of Russia: Theses of reports. Moscow, 2010. P. 298–299.

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