G Факоэмульсификация (ФЭ) на сегодняшний день представляет собой основную методику хирургиче-ского лечения катаракты, которая обеспечивает раннюю клинико-функциональную реабилитацию па-циентов. Послеоперационный отёк роговицы является частой и нежелательной клинической ситуацией. Целью клинического исследования стало изучение терапевтического эффекта гипертонического раство-ра (3 %) хлорида натрия «Окусалин» на отёк роговицы в раннем послеоперационном периоде. материалы и методы. В исследование включено 60 пациентов (65 глаз) с послеоперационным отёком ро-говицы. Основную группу составили 35 глаз, контрольную -30 глаз. Пациенты первой группы в после-операционном периоде дополнительно использовали 3 % гипертонические глазные капли хлорида натрия («Окусалин»), пациенты второй группы получали стандартную схему лечения. У всех пациентов до и после операции (через 1, 7 дней и 1 месяц) оценивали субъективные и объективные (остроту зрения, толщину ро-говицы в центральном отделе и в зоне туннельного разреза) показатели функционального состояния глаз. Результаты исследования продемонстрировали, что применение 3 % раствора хлорида натрия способ-ствует улучшению остроты зрения за счёт уменьшения толщины роговицы в центральном отделе уже к 7-му дню после операции. Использование «Окусалина» в раннем послеоперационном периоде позволяет сократить сроки клинико-функциональной реабилитации пациентов и уменьшить субъективные жалобы.G ключевые слова: факоэмульсификация; отёк роговицы; гипертонический раствор; пахиметрия. G Currently phacoemulsification (PE) is the main technique of cataract surgery, which provides for patients early clinical and functional rehabilitation. Post-operative corneal edema is a frequent and undesirable clinical situation. The purpose of the study was to evaluate clinical efficacy of 3% sodium chloride ("Ocusaline") treatment in patients with corneal edema in the early post-operative period. Materials and methods. 60 patients (65 eyes) with post-operative corneal edema were included in the study. The main group consisted of 35 eyes; 30 eyes were included into the control group. Patients in the group 1 in addition to the routine post-operative treatment were treated with 3% sodium chloride hypertonic eye drops ("Ocusaline"); and patients in group 2 were treated according to the standard protocol. In all patients before and after surgery (in 1 day, 7 days and 1 month), subjective and objective indices of functional ophthalmic state (visual acuity, pachymetry in the central area and in the tunnel incision zone) were estimated. Results. The study results demonstrated that 3% sodium chloride hypertonic solution use facilitates visual acuity improvement due to the decrease of corneal thickness in the central area already at one week after surgery. The use of "Ocusaline" in the early post-operative period allows to decrease clinical and functional rehabilitation terms and to reduce subjective complaints of patients.
Presentation of a clinical case of acute keratoconus treatment by the intracameral platelet-rich plasma administration. Clinical and morphological improvement was registered from the first postoperative day, corneal edema and bullous changes completely resolved during 3 weeks. No side effects were observed. The outcome is confirmed by anterior segment optical coherence tomography data Intracameral platelet-rich autologous plasma administration is a safe and effective method of acute keratoconus treatment.
In the article, the results of cataract surgery results in a patient with irregular astigmatism due to corneal comorbidity are presented. The authors demonstrate the efficacy and the safety of the method of residual astigmatism correction with the implantation of an additional pseudophakic IOL Sulcoflex (Rayner, Great Britain).
Acanthamoeba keratitis with bacterial, fungal superinfection or without it leads to development of an aggressive and long-standing corneal inflammation; up to now, the efficacy of its treatment stays doubtful and demands further investigation. For a long time, there were discussions on the possibility and expediency of corneal collagen cross-linking (PACK-CXL photo activated chromophore for keratitis) in patients with bacterial, fungal and Acanthamoeba keratitis. This article presents a clinical case of effective treatment of mixed etiology keratitis by multiple high fluence accelerated PACK-CXL in a patient with severe local toxico-allergic reaction.
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