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Zabolotniy A.G., Misakiyan K.S., Bronskaya A.N., Simonova A.N., Khristichenko E.Yu. METHODOLOGICAL ASPECTS AND ANALYSIS OF THE INEFFECTIVENESS OF THE IMPLANT IN THE SOFT DRAIN PRIMARY PENETRATING SURGERY BEFORE OPERATED OPEN ANGLE GLAUCOMA STAGE I–III [№ 12 ' 2015] Scarring of the newly formed outflow tract for intraocular fluid (IOF)š— the main cause of IOP decompensation after surgery. For S prevention and reduction a slowly absorbable "soft" drainage implant HealaFlow (Anteis, Switzerland) was applied. Analysis of the implant HealaFlow results in the filtering anti-glaucoma operations (FAGO) of non-penetrating type for patients with POAG of I–III stages. Materials and methods. 30špatients (30šeyes), 18šmen, 12šwomen, 54–76šyears. 5špatients with IIIšstage were previously operated on for glaucoma. The follow-up period was more than 3šmonths. Research methods included optical coherence tomography (OCT) of the anterior and posterior eye segment [VisanteTM OCT, RTVue Avanti (Optovue)]. In all cases stabilization of IOPš— 16–18šmm Hg was achieved. There were no surgical complications. At discharge, on the OCT in the operational area in 29špatients was determined diffuse intraconjunctival cavity (ICC). Intrascleral cavity (ISC) was apposed to ICC filled with HealaFlow. 1špatient (IOP of 29šmmšHg) was performed a revision of a surgery area. 1–3šmonths after surgery in all eyes a bleb with height of 0.6–0.8šmm with subconjunctival micro cavities was visualized. ISC in all patients was saved. All patients with POAG of III stage was underwent DGP up to 3šmonths. The purpose IOP was achieved in 86š% of cases. Implant HealaFlow when FAGO of non-penetrating type with POAG of I–IIIšstages, including repeated, prevents the formation of cicatrical processes. Persistent hypotensive effect was achieved. It requires strict technology observance.
Klokova O.A., Sakhnov S.N., Zabolotniy A.G., Klokov A.V. TO THE QUESTION OF PRIORITY OF REFRACTIVE ERRORS EXCIMER LASER CORRECTION IN COMPLEX TREATMENT OF REFRACTIVE AND ANISOMETROPIC AMBLYOPIA IN CHILDREN AND ADOLESCENTS [№ 12 ' 2015] Amblyopia on the background of refractive errors, especially anisometropic, responds poorly to conservative treatment, is often accompanied by severe disorder of binocular functions and is one of the causes of visual disability. The study group included 19špatients (24šeyes) aged fromš9 toš16šyears (mean was 13.8š±š0.85 years) with mixed astigmatism from 4.25 to 6.5šdiopters (mean was 5.13šdioptersš± 0.46šdiopters). During the surgery and in the postoperative period the complications were not observed. As a result of laser correction in patients were achieved following refractive indices: decrease of astigmatism degree by 4.11šDš± 0.41šD (80.1š% of the initial value) and anisometropia degreeš— 4.0šDš± 0.53šD (88.1š% of the initial value). As a result of LASIK and FemtoLASIK the average UCVA of patients was statistically significantly higher than the average BCVA before surgery: 0.56š±š0.15 and 0.44š±š0.13 (Pš<š0.01) respectively. After the laser correction patients underwent laser stimulation and computer treatment courses. In 20.8š% of cases the increase in BCVA by 0.1–0.2 was observed, whereas preoperative conservative treatment was not given any effect. The efficacy and safety of laser correction determines its priority in complex treatment of refractive and anisometropic amblyopia in children and adolescents with mixed astigmatism. Decrease of amblyopia and anisometropia degree by LASIK and FemtoLASIK techniques improves the quality of vision and provides optimum social adaptation of children and adolescents.
Goncharenko O.V., Zabolotniy A.G., Matsko V.V., Martsinkevich A.O. PROVIDING AND IMPROVING THE LEVEL OF TECHNOLOGICAL SAFETY OF CATARACT SURGERY BASED ON CLINICAL USING THE FEMTOSECOND LASER [№ 12 ' 2014] One of the main directions of improvement of modern cataract surgery is the introduction into clinical practice of new energy technologies that reduce surgery traumatic factor. Using the femtosecond laser depends on the degree of cataract and density of the lens nucleus, allow reducing the time of effective phacoemulsification. It, in turn, helps to improve the safety of cataract surgery — reducing the risk of postoperative corneal edema and reducing the degree of loss of the endothelial cells.
Klokova O.A., Sakhnov S.N., Zabolotniy A.G. LONG-TERM RESULTS OF ACCOMMODATIVE STRABISMUS TREATMENT ON THE BASIS OF LASIK TECHNOLOGY [№ 12 ' 2014] Excimer laser correction of average and high degree hypermetropia with astigmatism in patients with convergent accommodative strabismus by LASIK technology is pathogenetically oriented, effective and safe method: eliminates dependence on spectacle correction to compensate for strabismus, asthenopic complaints when performing visually intense work. Long-term observation confirms the stability of the patients rehabilitation results with combined ophthalmopathology and allows to recommend this approach for use in clinical practice.
Malyugin B.E., Sakhnov S.N., Zabolotniy A.G., Simonova A.N., Martsinkevich A.O. EFFECT OF A SINGLE SUBTENON INJECTION OF BETAMETHASONE ON THE MORPHOLOGY AND FUNCTION OF THE MACULAR RETINA IN DIABETIC PATIENTS AFTER UNEVENTFUL CATARACT SURGERY [№ 12 ' 2014] Macular edema is most likely to present in patients with diabetes after uneventful cataract surgery. NSAIDs in combination with corticosteroids, significantly reduces the risk of this complication. Posterior subtenon steroid injection demonstrates morepronounced and prolonged therapeutic effect in the prevention of postoperative macular edema.
Zabolotniy A.G., Sakhnov S.N., Parakhuda S.E., Smolyanskaya O.A., Yezerskaya A.A., Geyko I.A. STUDY OF TERAHERTZ BEAM INTERACTION WITH EYE SURFACE — FIBROUS TUNIC OF EYEBALL, CORNEA AND SCLERA IN EXPERIMENT [№ 12 ' 2012] In experiment on cadaver animals' eyes the authors carried out the study of terahertz beam interaction with eye surface — fibrous tunic of eyeball, cornea and sclera of pig. It was researched the penetrating possibility of picoseconds length impulses (ps): transmission spectrum and gleam with anterior eye surface components in terahertz diapason of electromagnetic oscillations spectrum 0,05–2,0 THz. Power parameters of THz beam for sclera transmission 30–40 mW was determined. THz beam of high power is necessary for cornea, center and peripheral and libal.
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Editor-in-chief |
Sergey Aleksandrovich MIROSHNIKOV |
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