|
|
|
Kanyukov V.N., Saneeva Zh.Kh. CLINICAL APPLICATION OF "ALLOPLANT" FOR REVASCULARIZATION OF CILIARY BODY AT PHTHISIS BULBIThe main factor in the development of phthisis bulbi is a traumatic detachment of ciliary body and disorder of its trophic function, due to mechanical damages of choroid and post-traumatic inflammation in it, as well as paresis and vasodilation of vessels resulting in extravasation and swelling of the surrounding tissues, which leads to the development of hypotension. Phthisis bulbi has typical clinical symptoms: post-traumatic uveitis, hypotension, scarring changes of fibrous eye capsule, deformation and shortening of eyeball sizes, lowering of visual functions up to their complete absence. The main purpose in the treatment of phthisis bulbi is the relief of inflammation and restoration of ciliary body trophism. The analysis of the conducted investigation showed that the clinical effect developed best of all for 6 months indicating the positive impact of "Alloplant" on phthisis bulbi process. We proposed a sparing method of revascularization of ciliary body by "Alloplant" allowing to improve ciliary body trophism, minimize the time of surgical intervention, and reduce trauma and additional scarring of tissues of phthisis bulbi by means of biomaterial rebuilding and the development of newly formed blood vessels in it.Key words: phthisis bulbi, Alloplant, revascularization, eyeball, ciliary body.
References:
1. Alekseeva I.B. Surgical treatment of posttraumatic phthisis bulbi: diss. … cand. of med. scien. — M., 1985. — 199 p.
2. Balabanova V.N. Long-term outcomes of severe penetrating wounds of the eyeball / V.N.Balabanova, M.P.Kulikova // Vestnik oftal'mologii. — 1975. — № 2. — P. 72-73.
3. Gundorova R.A. Modern ophthalmotraumatology / R.A.Gundorova, A.V.Stepanov, N.F.Kurbanova — M.: OAO Izd-vo "Meditsina". — 2007. — 256 p.
4. Gundorova R.A., Moshetova L.K., Maksimov I.B. Priority ways in the problem of eye injury // Theses of reports of VII Congress of Russian ophthalmologists. — М., 2000. — P. 55–60.
5. Gundorova R.A., Neroev V.V., Kashnikov V.V. Eye injuries. М.: GEOTAR-Media, 2009. — P.383-394
6. Danilichev V.F. Modern ophthalmology. -М: GEOTAR-Media, 2000.
7. Eremin V.P., Sorokin E.L. The severity of eye injury and its social causes // Evidence-based medicine — the basis of modern health care: materials of the congress. — Khabarovsk, 2007. — P. 134-138.
8. Kargapolov A.V., Zubareva G.M. New approaches to the determination of the intact state of biologically active systems. Tver, 2006. — 184 p.
9. Kislitsina N.M. Surgical treatment of sequelae of eyeball penetrating comminuted injuries, complicated by proliferative vitreoretinopathy, using the data of ultrasound biomicroscopy: Author's report … cand. of med. scien. — М., 2003.
10. Libman E.S. Eye injuries. — М.: Meditsina, 2003. — 48p.
11. Libman E.S., Bocharova I.V., Shakhova E.V., Shmakova O.V., Martyushova L.T. Primary disability due to eye injuries in the Russian Federation // Theses of reports of Scientific and research conference Emergency care, rehabilitation and treatment of complications at eye injuries and emergency situations. М., 2003. — P. 5–8
12. Filatova I.A. Some peculiarities of surgical methods at eyeball enucleation / Restorative treatment at consequences of very severe visual organ damages received in extraordinary situations: proceedings. M., 2002. — P.61-64
13. Shif L.V. Ocular prosthetics. — M.: Meditsina, 1981. — 136p.
14. Steinkolger F.J. The treatment of the post-enucleation socket syndrome. //Fortschr. Ophthalmol. 1988.-Bd 85. N 3. — P.321-322.
15. Vannas, М. On hypotony following cyclodialysis and its treatment / М. Vannas, B. Bjцrkenheim // Acta Ophthalmol, 1952. — Vol.30. — P.63-64
About this article
Authors: Saneeva Zh.H., Kanyukov V.N.
Year: 2015
|
|
Editor-in-chief |
Sergey Aleksandrovich MIROSHNIKOV |
|
|