Ocular traumatism in Russian Federation

Petrayevsky, A.V.; Gndoyan, I.A.; Тришкин, К. С.; Vinogradov, A.R.

doi:10.17116/oftalma201813404180

Cited by 8 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Несмотря на то что эпидемиология травмы глаза точно не установлена, по данным Всемирной организации здравоохранения (ВОЗ) ежегодно в мире регистрируется около 55 миллионов случаев травмы органа зрения [1], из которых примерно 203 тысячи сопровождаются проникающим ранением глазного яблока [2]. В Российской Федерации частота травматического повреждения глаз в настоящее время составляет 114,5 человека на 100 тысяч населения [3].…”

Section: Ophthalmology In Russia 2020;17(2):181-187unclassified

Features of the Content of Cellular Messengers of Inflammation in Eye Injuries

2020

View full text Add to dashboard Cite

Eye injury is one of the actual problems in modern ophthalmology. Penetrating wounds of the cornea are the most significant among all eye injuries. New data on the course of inflammation in corneal injury will allow us to predict the course of the post-traumatic period and improve treatment outcomes. The corneal immune privilege is a unique system of protecting one’s own tissues from damage caused by systemic immunity reactions, which is realized through several mechanisms. Modern research shows that healing from corneal injury is a complex cascade of cellular reactions, the understanding of which is still far from consummation. It was described the regenerative potential of cell populations of the cornea when it was damaged. Contravention of barrier properties in injuries of the cornea deprives the organ of vision of immune privilege. This violation initiates the launch of the messenger pools of angiogenesis, remodeling and inflammation. Besides studying the interaction of cellular messengers in cornea trauma and inflammation, researchers pay great attention to cellular reactions. Recruitment of immune cells during corneal injury is mediated by pro-inflammatory cytokines released during damage from epithelial cells and keratocytes.

show abstract

Section: Ophthalmology In Russia 2020;17(2):181-187unclassified

Features of the Content of Cellular Messengers of Inflammation in Eye Injuries

2020

View full text Add to dashboard Cite

show abstract

Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

Chentsova¹,

Alekseeva²,

Verigo³

et al. 2019

Oftalʹmologiâ

View full text Add to dashboard Cite

Open eye injury (OTG), in the structure of eye damage is up to 35.0–85.0 %, the level of disability among the working part of the male population from 26 to 55 years ranges from 25.0–47.5 %, and the removal of the eyeball due to traumatic pathology is 6.5–26.3 % of cases. The aim of the work is to demonstrate the consequences of undiagnosed cases of open injury, successfully treated in the Department of traumatology and reconstructive surgery. Attention is focused on some diagnostic techniques that contribute to the correct diagnosis, especially in undiagnosed and unoperated timely sub — conjunctival sclera ruptures that occur in 1.0–2.6 % of cases of OTG. This pathology leads to the development of severe complications with a persistent decrease in visual functions, detachment of the inner shells, with the formation of staphylomatous, cystic changes, as a rule, along the upper limb in 0.5–1.0 mm from it. There are 3 clinical cases with the description of surgical restoration of the integrity of the scleral capsule in combination with intraocular surgery, which led to good anatomical, cosmetic and functional results. In the first case, the patient with the consequence of injury with wooden shavings 6 months ago was performed a delayed revision of vascular staphyloma after separation of the conjunctiva and plastic defect sclera cadaver scleral flap. Visual acuity of OD increased from 0.4 to 0.8. The second case is the consequences of an open eye injury, dislocation of the lens under the conjunctiva. The patient underwent a delayed revision of the scleral wound with removal of the lens, microinvasive vitrectomy with removal of hemophthalmos, iris plasty and secondary IOL implantation. Visual acuity improved with pr.l.certae up to 0.7. The third case is a patient with the consequences of open trauma, staphyloma vascular, complete coloboma of the iris, traumatic cataract. Were facoaspiration traumatic cataract with IOL implantation and plasticity of the iris, delayed revision of the scleral wound plasty of the defect cadaverous sclera. Visual acuity improved with pr.l.certae to 0.2 n/K. Conclusion. Thus, thanks to the use of clinical and diagnostic methods of research and high-tech surgical technique of treatment, it was possible to achieve optimal anatomical, cosmetic results in patients with long-term consequences of complicated open eye injury. Despite the severe anatomical consequences, good functional results were obtained in all cases. In our opinion, this can be explained by the absence of damage to the choroid during the injury, which, according to the literature, mainly leads to massive bleeding into the inner shells and cavities of the eye, the development of ischemia and is the trigger for the development of vitreoretinal proliferation.

show abstract

Surgical Rehabilitation of a Posttraumatic Iris Cyst, Cataract and Astigmatism Patient. Clinical Case

Potehin

Vershinina

2022

Oftalʹmologiâ

View full text Add to dashboard Cite

Injuries cause serious disturbance of the form and function of the organ of vision due to the damage and accompanying or remote complications and therefore have a high proportion to the structure of low vision, blindness and disability. One of the complications of penetrating wounds of the eye is iris cysts. Iris cyst can increase and cause pupillary block, secondary glaucoma, uveitis, corneal dystrophy, and therefore it requires surgical intervention. The goal of surgical treatment of an iris cyst is to ensure complete removal of the cyst.Objective: to estimate the clinical and functional results of treatment in a posttraumatic iris cyst, posterior subcapsular cataract and myopic astigmatism patient.Patient and methods. Patient B., 49 years old with posttraumatic retention iris cyst, posterior subcapsular cataract, compound myopic high astigmatism was examined. To determine the tactics of surgical treatment of the patient, a complex of General ophthalmology was perfomed (visometry, IOP measurement, autorefractometry, biomicroscopy, ophthalmoscopy), as well as special (B-scanning, optical coherence tomography of the retina) research methods. The follow-up period was 1 year.Results and discussion. To improve visual functions and prevent the development of secondary glaucoma, the patient was offered surgery - excision of the iris cyst and cataract phacoemulsification with toric intraocular lens. Simultaneous carrying out of two stages of the operation reduced the risks of postoperative complications and shorten the rehabilitation period.Conclusion. Positive optical and therapeutic effects were achieved as a result of the surgical treatment 44 years after an open eye injury: the eye is calm, the iris cyst is not detected, visual acuity has increased. The postoperative period showed the saving the stable and high visual and functional result with no recurrence of the iris cyst.

show abstract

Ocular traumatism in Russian Federation

Cited by 8 publications

References 6 publications

Features of the Content of Cellular Messengers of Inflammation in Eye Injuries

Features of the Content of Cellular Messengers of Inflammation in Eye Injuries

Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

Surgical Rehabilitation of a Posttraumatic Iris Cyst, Cataract and Astigmatism Patient. Clinical Case

Contact Info

Product

Resources

About