Vestnik On-line
Orenburg State University november 24, 2024   RU/EN
Headings of Vestnik
Pedagogics
Psychology
Other

Search
Vak
Антиплагиат
Orcid
Viniti
ЭБС Лань
Rsl
Лицензия Creative Commons

2015, № 12 (187)



Zelentsov K.S., Ioileva E.E., Zelentsov S.N. USE OF POLARIZING MIXTURE IN TREATMENT OF CLOSED EYE INJURYClosed eye injury ranks second in frequency among all eye contusions. 40.7–46.5 % of patients have ophthalmoscopically visible changes ofretina. 0.5–23.7 % of patients suffer from traumatic optic neuropathy. Nowadays a wide variety of conservative methods of treatment of retina and ophthalmic nerve contusion changes is used. Nevertheless most of them are not efficient enough due to the fact that they don't produce an ethiopathogenetic effect. To study a neuroprotective effect of polarizing mixture (glucose-insulin-potassium) on retina and ophthalmic nerve neuron metabolism in case of eye injury, for 1–3 days after trauma there was examined functional status of retina and ophthalmic nerve of 20 patients with eyeball injury and transparent optical media. There were used objective methods: registration of general electroretinogram (ERG) and visually evoked potentials (VEP) by a diagnostic suite "Electroretinograph" (produced by MBN, Russia). Eye stimulation was held monocularly, with diffusive flashes of white light, flash energy was 0,3 J, frequence was 1 Hz. The acquired data was statistically analyzed. The research has found that according to the electroretinogram data one hour after injection of polarizing mixture wave "а" is registered to increase by 135 % and wave "b" — by 164 %. The amplitude of the wave P-100 VEP increases by 161 %. Thus, on the basis of the received data, we believe that using of polarizing mixture produces a neuroprotective effect on retina and ophthalmic nerve in case of closed eye injury.Key words: eye contusion, electroretinogram, visual evoked potentials, polarizing mixture.

Download
References:

1. Gusev E.I., Skvortsova V.I., Glutamate neurotransmission of calcium metabolism in a norm and with brain ischaemia. Success of Physiological Sciences. 2002; 4: 80-93

2. Zelentsov S.N., Didenko T.V. Experimental research of dynamics of electrolytic solution contents at anterior chamber and blood at eyeball injury. II Russian North ophtalmologists conference proceedings. Vologda, 2007: 29-30

3. Sobyanin N.A., Archina U.A., Petropavlovskaya L.G. Analysis of structure and consequences of eye traumas of middle-aged patients. Proceedings of VII Euro-Asian ophthalmosurgery conference . Ekaterinburg; 2015: 148-149

4. Stepanov A.V., Zelentsov S.N. Eye contusion. St.Petersburg; 2004: 104.

5. Eye injury (edited R.A.Gundorovoy, V.V. Neroeva, V.V.Kashnikova) .- M.: Geotar-Media, 2009: 382-463

6. Shamshinova A.M., Volkov V.V., Functional research methods in ophthalmology — M.: Medicina, 1998: 415

7. Alessandri B., Doppenberg E., Bullock R. et al. Glucose and lactate metabolism after severe human head injury: influence of excitatory neurotransmitters and injury type. Acta neurochirurgica. 1999; 75: 21-24

8. Alessandri B., Reinert M., Young H.F., Bullock R. Low extracellular (ECF) glucose affects the neurochemical profile in severe head-injured patients.

Acta neurochirurgica. 2000; 76: 425-430

9. Alves O.L., Bullock R., Clausen T. et al. Concurrent monitoring of cerebral electrophysiology and metabolism after traumatic brain injury: an experimental and clinical study. Journal of neurotrauma 2005; 22(7): 733-749

10. Deng Hu-ping, Chai Jia-ke. The effects and mechanisms of insulin on systemic inflammatory response and immune cells in severe trauma, burn injury, and sepsis. International Immunopharmacology. 2009; 9 (11): 1251–1259

11. Doppenberg E.M., Reinert M., Zauner A. et al. Determinants of cerebral extracellular potassium after severe human head injury. Acta neurochirurgica. 1999; 75: 31-34

12. Hermans G., De Jonghe B., Bruyninckx F., Van den Berghe G. Interventions for preventing critical illness polyneuropathy and critical illness myopathy. Cochrane Database Syst Rev. 2014: 10.1002/14651858.CD006832.pub3.

13. Jeschke M.G., Klein D., Herndon D.N. Insulin Treatment Improves the Systemic Inflammatory Reaction to Severe Trauma. Ann. Surg. 2004 ; 239(4): 553–560.

14. Moro N., Ghavim S., Harris N.G. et al. Glucose administration after traumatic brain injury improves cerebral metabolism and reduces secondary neuronal injury. Brain Res. 2013;1535:124-36.

15. Reinert M., Hoelper B., Doppenberg E. et al. Substrate delivery and ionic balance disturbance after severe human head injury. Acta neurochirurgica. 2000;76: 439-444

16. Reinert M., Khaldi A., Zauner A. et al. High extracellular potassium and its correlates after severe head injury: relationship to high intracranial pressure. Neurosurgical focus 2000; 8: 1-10

17. Shijo K., Ghavim S., Harris N.G. et al. Glucose administration after traumatic brain injury exerts some benefits and no adverse effects on behavioral and histological outcomes. Brain Res. 2015 ; 1614: 94-104.

18. Visser L., Zuurbier C.J., Hoek F.J. et al.Glucose, insulin and potassium applied as perioperative hyperinsulinaemic normoglycaemic clamp: effects on inflammatory response during coronary artery surgery. British Journal of Anaesthesia. 2005; 95 (4): 448–57


About this article

Authors: Ioyleva E.E., Zelentsov K.S., Zelentsov S.N.

Year: 2015


Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

Crossref
Cyberleninka
Doi
Europeanlibrary
Googleacademy
scienceindex
worldcat
© Электронное периодическое издание: ВЕСТНИК ОГУ on-line (VESTNIK OSU on-line), ISSN on-line 1814-6465
Зарегистрировано в Федеральной службе по надзору в сфере связи, информационных технологий и массовых коммуникаций
Свидетельство о регистрации СМИ: Эл № ФС77-37678 от 29 сентября 2009 г.
Учредитель: Оренбургский государственный университет (ОГУ)
Главный редактор: С.А. Мирошников
Адрес редакции: 460018, г. Оренбург, проспект Победы, д. 13, к. 2335
Тел./факс: (3532)37-27-78 E-mail: vestnik@mail.osu.ru
1999–2024 © CIT OSU