| About the author: |
P. M. Maharramov |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
112 patients (80 men, 32 women; 89 and 39 eyes, respectively) aged from 20 to 48 years with various corneal pathologies were retrospectively examined. The patients were operated using the following types of operations: intrastromal implantation of the corneal segment; crosslinking of corneal collagen using ultraviolet radiation and riboflavin; combined use of these methods in various variants with and without photorefractive and phototherapeutic keratectomy. Intraoperative complications were observed mainly during implantation of the intrastromal segments of the cornea. 10 % of various types of intraoperative complications accounted for 100 such operations. The combined use of corneal collagen crosslinking with both photorefractive keratectomy and phototherapy keratectomy is associated with the same risk of postoperative complications. The risk of postoperative complications is relatively high in patients aged 30 years and older, with a preoperative level of visual acuity without correction of less than 0.2 and with a central corneal thickness of 470 microns. |
| Tags |
keratoconus, corneal rings, combined operations, frequency, complications, stitching |
| Bibliography |
- Vasileva IV, Egorov VV, Vasilev AV. Analiz effektivnosti implantasii intrastromalnykh rogoviychnykh segmentov s primeneniem femtosekundnogo lazera u patsientov s keratokonusom . Dalnevostochnyj meditsinskiy zhurnal. 2016;1: 68–72. [in Russian]
- Izmajlova SB, Maljugin BJe, Pronkina SA, Merzlov DE, Poruchikova EP. Taktika lechenija i iskhody oslozhneniy implantatsii rogovichnykh segmentov pri keratoektazijakh razlichnogo geneza. Oftalmokhirurgiya. 2014; 2:16–23. [in Russian]
- Kasparova EA, Sobkova OI, Kasparova EA, Kasparov AA Khirurgicheskoe lechenie gnojnykh yazv rogovitsy, razvivshihsya na fone nejroparaliticheskogo keratita. Voprosy nejrokhirurgii. 2018; 1:72–77. [in Russian]
- Stenton G. Mediko-biologicheskaya statistika. Moskva. Izd. Praktika. 1999: 459 . [in Russian]
- Arnalich-Montiel F, Del Barrio JLA, Alió JL. Corneal surgery in keratoconus: which type, which technique, which outcomes? Eye and vision. 2016, 3:2. DOI 10. 1186/s40662-016-0033-y;
- Bourne RR, Jonas JB, Bron AM, Cicinelli MV, Das A, Flaxman SR, et al. Prevalence and causes of vision loss in hight- income countries find Eastern and Central Europe in 2015: magnitude, temporal trends and projections. Br. J. Ophthalmol. 2018; 102: 575–585
- Gupta N, Vashist P, Tandon R, Gupta SK, Dwivedi S, Mani K. Prevalence of corneal diseases in the rural Indian population: the corneal opacity rural epidemiological (CORE) study . BMJ Ophthalmology. 2015, 99(2): 147–52 doi:10.1136/BJ Ophthalmol.2014–305945;
- Kim CY, Kim MK. Effect of sequential intrastromal corneal ring segment implantation and corneal collagen crosslinking in corneal ectasia. Korean J Ophthalmol. 2019; 33(6): 528–538.
- Li X, Wang L, Wei Q. Corneal diseases in China .Ophthalmology. 2012; 119(8):1712–1712
- Mahrana PK, Shay P, Singhal D, Garg I, Titiyal J, Sharma N. Component corneal surgery: an update . Indian Journal of Ophthalmology. 2017; 65(8):658 DOI:10.4103/ijo.IJO_582_17
- Studeny P, Krizova D, Stranak Z. Clinical outcomes after complete intracorneal collagen crosslinking in an intrastromal pocket in one session for keratoconus. Journal of Ophthalmology. 2014;(6):568128 DOI:10.1155/2014/568128
- Vega-Estrada A, Alio JL. The use of intracorneal ring segments in keratokonus . Eye and Vision. 2016, 3:8. DOI 10.1186/s 40662-016-0040-z
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| Publication of the article |
«World of Medicine and Biology» №3(77), 2021 year, 106-110 pages, index UDK 617.713 - 084 (048) |
| DOI |
10.26724/2079-8334-2021-3-77-106-110 |
