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2015, №š12š(187)



Stepanov V.K., Marieva I.V., Isaeva O.V. THERAPEUTIC CORNEAL TRANSPLANTATION IN DESTRUCTIVE KERATOPATHY IN PATIENTS WITH RHEUMATOID ARTHRITISAuthors produced results of therapeutic corneal grafting on patients with destructive corneal pathology, which was associated with rheumatoid polyarthritis. There were 27špatients (18šwomen, 9šmen) aged fromš52 toš82. Destructive processes looked like deep clean corneal ulcers. There were 14špatients with uncovered descemet's membrane, 7špatients had perforation of the cornea, 8špatients had destructive corneal processes through 2–3šmonths after cataract extraction with IOL implantation. We have made therapeutic lamellar keratoplasty by own technology in all of cases, because conservative treatment was ineffective. In 15špatients we added to keratoplasty amniotic membrane covering and blepharorrhaphy, it allowed us check out these patients from the hospital on next day. In 23špatients recovery happened after first surgery, in 4špatients we have seen relapse disease in long-term period through 1–2šmonths. In 2špatients recovery happened after repeated surgery and in 1špatient after third surgery. Corneal transplant has regenerated transparent in 12špatients, half-transparent in 11špatients and opacity cornea in 4špatients. All patient's eyes were saved with vision function toš0.1. In this way, the lamellar keratoplasty gave effective result with saving of eyes in all patients with hard destruction of the cornea, which was associated with rheumatoid polyarthritis. Amniotic membrane covering of corneal transplant and blepharorrhaphy allowed to use postoperative treatment outpatient with observing in the Eye hospital, it was comfortable for patients and was cost effective for hospital.Key words: corneal grafting, corneal pathology, rheumatoid polyarthritis.

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About this article

Authors: Murieva I.V., Stepanov V.K., Isaeva O.V.

Year: 2015

Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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