Milyudin E.S., Nikolaeva G.A., Milyudin A.E.
CLINICAL AND MORPHOLOGICAL CHARACTERISTICS RETROKORNEAL MEMBRANES ^{[№ 12 ' 2015]}
A frequent cause of intra operative complications in repeat Keratoplasty is a need for reconstruction of the anterior chamber and excision retrokorneal fibrous growths. In this connection it is essential determining the type and nature of retrokorneal membranes. The goal of this study — to study the morphological structure retrokorneal growths in patients operated again on the pathological changes of the cornea. Observed 30 patients with vascular leukomas 4–5 category by classification Filatov — Bushmich who underwent re-keratoplasty. From remote systems during operation of the corneal disk retrokorneal membrane prepared histological sections that were stained by the method of Van Gieson and examined using a light microscope. In all patients during surgery removed retrokorneal membrane. Fibrotic growths in the anterior chamber or limited imperforate of the pupil — 4 patients (13 %) or were tougher membranes — in 26 patients (87 %). As a result of the morphological study excised corneas from membranes retrokorneal we identified three types. The first type retrokorneal membrane was represented as exfoliated Descemet's membrane, with a small number of endothelial cells. The second type retrokorneal membranes, characterized by a corneal epithelial ingrowth of scar or proliferation of endothelial. For the third type retrokorneal membrane characterized by loose connective tissue fibers, welded either iris or cornea, excessive growth of newly formed blood vessels, lymphocytic infiltration. Traumatic and long-existing inflammatory processes are the main causes of retrokorneal fibrin formations. The degree of severity and duration of inflammation are the determining factors for the development of one of three types retrokorneal membran.

Tsurova L.M., Milyudin E.S. , Zelter P.M., Kanivec N.V., Popov N.V.
NEW IN CHOOSING OF OPTIMAL SIZE ORBITAL BONE IMPLANT ^{[№ 12 ' 2015]}
In the prevention and treatment of anophthalmic syndrome is important to choose the optimal size implant for each individual patient. In our study we used CT scan of the orbits, the BMD of the eyeballs and facial radiography of the skull to calculate the optimal size of orbital bone liner, taking into consider anatomical parameters of the orbit. There are 60 patients without eye pathology, separated on three group depend on method of diagnostic research. Patients aged from 30 to 75. Analysis results of diagnostic tests have allowed us to develop new optimal size of orbital bone implant. Bone orbital implant is bone block with cylindrical form and porous structure, which had three type sizes. Our studies show, that orbital bone implant, which optimal size have developed in diagnostic researches, help us to create good functional and cosmetic result after enucleation. We offer complex researches of orbit (CT scan of the orbits, eyes ultrasound biometry, facial skull radiography), that is optimal set of researches for calculation of type sizes bone orbital implant.