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Anatomical and functional outcomes of idiopathic macular hole surgery with fovea-sparing versus conventional internal limiting membrane peeling 特发性黄斑孔手术保留中央凹与常规内限制膜剥离的解剖和功能结果
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh20235310
Зоя Розанова, Миколай Уманець, Наталя Храменко, Алла Невська, Інес Буаллагуі
Purpose: To compare fovea-sparing and conventional internal limiting membrane (ILM) peeling in idiopathic macular hole (IMH) surgery in terms of IMH closure type, hole closure incidence and visual outcome. Material and Methods: The ILM was peeled around the IMH in the conventional ILM peeling group. In the fovea-sparing ILM peeling group, an ILM flap was created temporally to the IMH (with an ILM remnant left attached to the margins of the IMH), folded over the hole and stabilized with viscoelastic. Gas tamponade with 20% SF6 or 15% С3F8 was used. In the postoperative period, IMH closure pattern was assessed. Thicknesses of the outer retinal layers, inner retinal layers and retinal nerve fiber layer in the macular region were measured at 1 and 3 months. Results: Totally, 70 patients (15 males and 55 females) had an IMH surgery in 71 eyes. The mean age (SD) was 65.7 (6.8) years. The median IMH duration (interquartile range (IQR)) was 3.0 (1.0-6.0) months, and the mean preoperative BCVA (standard deviation (SD)), 0.19 (0.16). Thirty-four eyes had an IMH surgery with conventional ILM peeling, and 37 eyes, an IMH surgery with fovea-sparing ILM peeling. The two groups were matched in terms of preoperative visual acuity and macular hole duration. IMH closure was achieved in 30/34 eyes (88.2%) in the conventional ILM peeling group and 33/37 eyes (89.2%) in the fovea-sparing ILM peeling group. Particularly, IMH closure was achieved in 13/17 eyes that received gas tamponade with 20% SF6 and 20/20 eyes that received that with 15% С3F8 in the latter group. The rate of correct IMH closure pattern was substantially higher (64% versus 47%) and median postoperative BCVA (IQR), significantly better (0.55 (0.35-0.7) versus 0.43 (0.35-0.6), р = 0.039) in the fovea-sparing ILM peeling group than in the conventional ILM peeling group. An analysis of variance found a significant effect of the type of IMH surgery and IMH closure pattern on the postoperative BCVA (F1 = 5.06, p = 0.027; F2 = 7.9, p = 0.0001). In both groups, we found a significant thinning of the total retinal thickness in the central 1-mm foveal zone at 3 months compared to 1 month after surgery. There was a significant thinning of the outer and inner retinal layers in the conventional ILM peeling group, and no significant thickness changes in the retinal layers in the fovea-sparing group. Conclusion: Our fovea-sparing ILM peeling technique is an effective treatment option for IMHs, and when used with gas tamponade with 15% С3F8, enabled a primary surgery IMH closure rate of 100%.
目的:比较特发性黄斑裂孔(IMH)手术中保留中央窝与常规内限制膜(ILM)剥离在IMH闭合类型、闭孔发生率和视力结果方面的差异。材料与方法:常规ILM剥离组在IMH周围剥离ILM。在保留中央窝的ILM剥离组,在IMH上暂时创建一个ILM皮瓣(ILM残余附着在IMH边缘),折叠在孔上并用粘弹性稳定。采用20% SF6或15% С3F8气体填塞。术后评估IMH闭合模式。分别于1、3个月测定黄斑区视网膜外层、视网膜内层及视网膜神经纤维层厚度。结果:70例患者(男15例,女55例)共71眼行IMH手术。平均年龄(SD) 65.7(6.8)岁。中位IMH持续时间(四分位间距(IQR))为3.0(1.0-6.0)个月,平均术前BCVA(标准差(SD))为0.19(0.16)。34只眼进行了常规的眼球内膜剥离手术,37只眼进行了保留中央凹的眼球内膜剥离手术。两组术前视力和黄斑孔持续时间相匹配。常规ILM剥离组有30/34只眼(88.2%)达到IMH闭合,保留中央凹ILM剥离组有33/37只眼(89.2%)达到IMH闭合。尤其值得一提的是,接受20% SF6气体填塞的13/17只眼和接受15% С3F8气体填塞的20/20只眼均实现了IMH闭合。保留中央窝的ILM剥离组IMH闭合模式的正确率(64%比47%)和术后中位BCVA (IQR)显著高于常规ILM剥离组(0.55(0.35-0.7)比0.43 (0.35-0.6),r = 0.039)。方差分析发现,IMH手术类型和IMH闭合方式对术后BCVA有显著影响(F1 = 5.06, p = 0.027;F2 = 7.9, p = 0.0001)。在两组中,我们发现与术后1个月相比,3个月时中央1毫米中央凹区的视网膜总厚度明显变薄。常规ILM剥离组视网膜外层和内层明显变薄,保留中央凹组视网膜层厚度无明显变化。结论:我们的保留中央窝的ILM剥离技术是治疗IMH的有效选择,当与15% С3F8气体填塞一起使用时,使初级手术IMH闭合率达到100%。
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引用次数: 0
Complications after proton therapy of choroidal melanoma: A case report 脉络膜黑色素瘤质子治疗后并发症1例
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202355659
Natalia Kuková, Maria Molnarova, Jana Stefanickova
Proton beam therapy is a globe preserving treatment method of choroidal melanoma. It is considered to be less harmful for the tissues around the tumour but the complications such as radiation retinopathy and neuropathy occur according to the dosage of irradiation. The visual outcomes after treatment are variable and dependent on the size of tumour. This article presents a case report of a 44-year-old male with choroidal melanoma in the left eye. Patient was examined in our ophthalmology practice because of photopsia and blurry vision during physical activity. After full ophthalmologic examination, fundus photography, optic coherent tomography, fluoresceine angiography and ultrasonography the diagnosis of malignant melanoma of choroid was set. The patient was referred to a proton center to undergo a proton therapy of choroidal melanoma in the left eye. Follow-up treatment of severe postradiation retinopathy and neuropathy is presented in the article. The patient took intravitreal bevacizumab injections and the panretinal lasercoagulation was performed. After one and half year follow up the melanoma is stable after therapy with no metastases.
质子束治疗是一种保存脉络膜黑色素瘤的治疗方法。它被认为对肿瘤周围的组织危害较小,但并发症如辐射视网膜病变和神经病变的发生取决于照射剂量。治疗后的视力结果是可变的,取决于肿瘤的大小。本文报告一例44岁男性左眼脉络膜黑色素瘤。患者因体力活动时出现失光和视力模糊,在眼科就诊。经全面眼科检查、眼底摄影、光学相干断层扫描、荧光素血管造影和超声检查,确定脉络膜恶性黑色素瘤的诊断。患者被转介到质子中心接受左眼脉络膜黑色素瘤的质子治疗。本文介绍了严重放射后视网膜病变和神经病变的随访治疗。患者玻璃体内注射贝伐单抗并行全视网膜激光凝固。经过一年半的随访,治疗后黑色素瘤稳定,无转移。
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引用次数: 0
Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area 含金纳米颗粒和硬晶石的水凝胶植入物的抗菌效果,并开发用于眼眶和眶周区域重建手术
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202352733
Ю. М. Самченко, С. М. Дибкова, Анатолій Малецький, Л. О. Керносенко, Т. Г. Грузіна, Н. О. Пасмурцева, Л. С. Рєзніченко, О. Б. Лютко, К. В. Вітрак, Н. М. Бігун, П. В. Воротицький, І. Є. Мамишев
Background: It is important to develop orbital hydrogel implants capable of depositing drugs (particularly, antimicrobial and anticancer drugs). Purpose: To assess antimicrobial effects of hybrid hydrogel implants containing gold nanoparticles and albucide and developed for reconstructive surgery in the orbit and periorbital area. Material and Methods: A 30% aqueous solution of albucide was used in the study. Antimicrobial activity of synthesized hydrogels was determined using Escherichia coli ATCC 25922, Enterococcus faecalis ATCC 29213, Staphylococcus aureus ATCC 25923 and Pseudomonas aeruginosa ATCC 27853 strains. Results: All the synthesized samples of orbital hydrogel implants were sterile. The synthesized hydrogels and hydrogel nanocomposites with incorporated Au nanoparticles demonstrated bacteriostatic effects against E. Coli ATCC 25922, E. Faecalis ATCC 29213, and S. Aureus ATCC 25923 strains, and bactericidal effects against P. Aeruginosa ATCC 27853 strain. This study also demonstrated marked bactericidal effects of hybrid hydrogel implants incorporating both Au nanoparticles and albucide. Conclusion: Orbital hydrogel implants were found to be sterile after being sealed into polypropylene bags and steam sterilized at 121 °C for 20 minutes. Our findings of bacteriostatic and bactericidal effects of the synthesized hydrogels and hydrogel nanocomposites containing Au nanoparticles and albucide against bacterial strains of interest will allow for the absence of, or low probability of bacterial contamination in applications of these hydrogels in implants.
背景:开发能够存放药物(特别是抗菌药物和抗癌药物)的眼眶水凝胶植入物是非常重要的。目的:评价含金纳米颗粒和白晶硅的混合水凝胶种植体用于眼眶和眶周重建手术的抗菌效果。材料与方法:采用30%乙醇水溶液。以大肠杆菌ATCC 25922、粪肠球菌ATCC 29213、金黄色葡萄球菌ATCC 25923和铜绿假单胞菌ATCC 27853菌株对合成的水凝胶进行抑菌活性测定。结果:合成的眼窝水凝胶植入物均无菌。所合成的水凝胶及其纳米复合材料对大肠杆菌ATCC 25922、粪肠杆菌ATCC 29213和金黄色葡萄球菌ATCC 25923具有抑菌作用,对铜绿假单胞菌ATCC 27853具有杀菌作用。本研究还证明了含有金纳米颗粒和白刚玉的杂化水凝胶植入物具有显著的杀菌效果。结论:将眼窝水凝胶植入物密封于聚丙烯袋中,121℃蒸汽灭菌20分钟后,眼窝水凝胶植入物无菌。我们的研究结果表明,合成的水凝胶和含有金纳米颗粒和铝酸盐的水凝胶纳米复合材料对感兴趣的细菌菌株具有抑菌和杀菌作用,这将允许这些水凝胶在植入物中的应用中没有细菌污染或低细菌污染的可能性。
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引用次数: 0
Clinical and pathomorphological changes in the rabbit retina after an injection of various doses of the cytostatic melphalan 注射不同剂量的细胞抑制剂美伐兰后兔视网膜的临床和病理形态学变化
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202354145
N. F. Bobrova, T. A. Sorochynska, S. A. Tronina, T. V. Romanova, N. I. Molachaniuk, O. Iu. Bratishko, A. V. Shylyk
Background: In recent years, there have been individual reports on intracameral chemotherapy (ICC) for aqueous seeding in retinoblastoma. The effect of melphalan on the structures of the ocular anterior segment (including the cornea, iris and anterior lens capsule) is however, still unknown, since no relevant experimental studies have been carried out so far. Purpose: To experimentally assess the changes in the rabbit anterior segment induced by intracameral injection of various concentrations of the alkylating cytostatic melphalan. Material and Methods: Twelve adult Chinchilla rabbits (22 eyes; age, 5–6 months; weight, 2.5–3 kg) were involved in this experimental study and maintained in the vivarium of the Filatov institute in separate cages under standard conditions. Results: After a 5-µg melphalan injection, corneal and iris changes were reversible and the lens was still clear. With an increase in melphalan concentration in injection solution (to 10, 15 and 20 µg) and time point (to 1 month and 3 weeks) after injection, degenerative changes in some epithelial cells of the iris became irreversible, anterior capsular cataract developed, but the cornea and anterior chamber aqueous remained clear. After a single 20-µg intracameral injection of melphalan, there was depigmentation of the iris, posterior synechia and anterior capsular cataract. Conclusion: Clinical and ultrastructural responses of ocular anterior segment tissue to intracameral melphalan injection depended on the injected dose and time point after injection. Most cells of examined tissues showed the capability to restore their ultrastructure following ceasing of the toxic effect of the drug.
背景:近年来,有一些关于视网膜母细胞瘤房内化疗(ICC)的报道。然而,由于目前还没有相关的实验研究,melphalan对眼前段(包括角膜、虹膜和晶状体前囊)结构的影响尚不清楚。目的:观察不同浓度烷基化细胞抑制剂美法兰对家兔前段的影响。材料与方法:12只成年栗鼠(22眼;年龄:5-6个月;体重为2.5-3公斤),参与了这项实验研究,并在标准条件下在Filatov研究所的不同笼子中饲养。结果:注射5µg melphalan后,角膜和虹膜的改变是可逆的,晶状体仍然清晰。随着注射液中melphalan浓度的增加(分别为10、15和20µg)和注射后时间点(分别为1个月和3周),虹膜部分上皮细胞退行性改变变得不可逆,前囊性白内障发生,但角膜和前房水保持清澈。单次眼内注射20µg melphalan后,出现虹膜色素沉着、后粘连和前囊性白内障。结论:眼前段组织对眼内注射美法兰的临床和超微结构反应与注射剂量和注射后时间点有关。在药物毒性作用停止后,大多数被检查组织的细胞显示出恢复其超微结构的能力。
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引用次数: 0
In Memoriam: Valerii Semenovych Ponomarchuk 悼念:瓦列里-谢苗诺维奇-波诺马尔丘克
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202356364
Наталя Храменко
It is with deep regret that we share sad news of the passing of Professor Valerii Semenovych Ponomarchuk, Head of the Functional Diagnostics Department at the Filatov Institute of Eye Diseases and Tissue Therapy, Dr Sc (Med) and Merited Doctor of Ukraine, who died on 12 September 2023. Valerii Semenovych was born on June 2, 1948, in Mykolaiv region, Ukraine. After completing his secondary school education, he went on to Odesa Medical School in 1964 which he graduated with Honors to become a medical assistant. After graduating with Honors in General Medicine at the Pirogov Odesa Medical Institute, he began his career as a junior researcher at the Functional Diagnostics Laboratory, the Filatov Institute of Eye Diseases and Tissue Therapy, in 1974. Valerii Semenovych was promoted to senior researcher and head of the Functional Diagnostics Department in 1987, and remained at the head of the department until his death. His first significant academic achievement was defending his Cand Sc (Med) thesis, Loss of Intraocular Pressure Control Secondary to Effects Exerted on Limbic System Structures, in 1981. He defended his doctoral (Dr Sc (Med)) dissertation, Early Functional Changes in the Visual System and the Pathological Mechanisms of These Changes in Autonomic Nervous System Dysfunction, in 1995, and was awarded the title of professor in 1998. Professor Ponomarchuk was academic secretary for the Dissertation Defense Council specializing in ophthalmology, from 1996 to 2006; expert of the State Dissertation Defense Board in clinical medicine, from 2006 to 2012; and expert of the State Commission for Academic Degrees and Titles at the Ministry of Education, Science, Youth and Sport of Ukraine in clinical medicine (surgical disorders), from 2012 to 2014. In 2002, he was elected a Vice-President of the Ukrainian Ophthalmological Society. His research and practical activities were focused on the physiology of vision, early functional diagnosis of disorders of the eye and visual system, and efficacy of treating various eye diseases with low-intensity physical stimuli (e.g., electric stimulation, photic stimulation and muscle stimulation). Professor Ponomarchuk also conducted studies on the effects of autonomic nervous system dysfunction on the eye, and the results of these studies laid down the foundation for a new area of ophthalmology, vegetoophthalmology. He developed various sets of techniques (electrophysiology techniques; studies of the central and peripheral fields of vision, cerebral and ocular circulation, and light sensitivity) for pre-clinical diagnosis of visual system disorders and comprehensive color vision evaluation. These techniques are successfully used at the Filatov institute and many eye centers of Ukraine. Professor Ponomarchuk was an active inventor. In 1988, he began his collaboration with engineers of “Shtorm” Research Institute to develop a number of diagnostic and treatment devices (ophthalmological electric and photic stimulators
我们深感遗憾地告诉大家,菲拉托夫眼病和组织治疗研究所功能诊断部主任Valerii Semenovych Ponomarchuk教授、医学博士和乌克兰荣誉博士于2023年9月12日逝世。1948年6月2日,瓦莱里·谢苗诺维奇出生于乌克兰尼古拉耶夫地区。在完成中学教育后,他于1964年进入敖德萨医学院,并以优异的成绩毕业,成为一名医疗助理。在Pirogov Odesa医学研究所以普通医学荣誉毕业后,他于1974年在Filatov眼科疾病和组织治疗研究所功能诊断实验室担任初级研究员,开始了他的职业生涯。1987年,Valerii Semenovych被提升为功能诊断部门的高级研究员和负责人,并一直担任该部门的负责人,直到他去世。他的第一个重要学术成就是在1981年为他的医学硕士论文《因边缘系统结构的影响而继发的眼压控制丧失》进行辩护。1995年获博士学位论文《视觉系统的早期功能变化和自主神经系统功能障碍的病理机制》答辩,1998年获教授称号。1996年至2006年,Ponomarchuk教授担任眼科专业论文答辩委员会的学术秘书;2006 - 2012年国家临床医学学位论文答辩委员会专家;2012年至2014年,乌克兰教育、科学、青年和体育部临床医学(外科疾病)国家学位和职称委员会专家。2002年,他当选为乌克兰眼科学会副会长。他的研究和实践活动主要集中在视觉生理学,眼睛和视觉系统疾病的早期功能诊断,以及低强度物理刺激(如电刺激、光刺激和肌肉刺激)治疗各种眼病的疗效。Ponomarchuk教授还进行了自主神经系统功能障碍对眼睛的影响的研究,这些研究的结果为眼科的一个新领域——植物眼科学奠定了基础。他开发了各种技术(电生理技术;中枢和外周视野、脑和眼循环以及光敏感性的研究,用于视觉系统疾病的临床前诊断和综合色觉评估。这些技术在菲拉托夫研究所和乌克兰的许多眼科中心得到了成功的应用。波诺马丘克教授是一位活跃的发明家。1988年,他开始与“shstorm”研究所的工程师合作,开发了许多诊断和治疗设备(眼科电光刺激器“Fosfen”),这些设备已被引入临床实践,目前在乌克兰和国外的250多个地点使用。Valerii Semenovych在70年代中期提出了基于光幻视效应的主要视觉通路电诊断的想法,从那时起,他一直在发展并将其付诸实践。当时,功能诊断实验室的电生理组使用了一台10年前的诊断电脉冲刺激器ELS-01。该装置的外观和方法论价值逐年恶化。此外,以实验室为基础的眼科进修课程的参与者同意该方法是适当的,但对该设备在市场上不可用感到不满。为了解决他们的担忧,Valerii Semenovych提出了至少开发几种诊断电子模拟器的想法。为该设备制定了技术设计任务,“风暴”研究所的设计工程师Volodymyr Andriiovych Ivanov在此任务的基础上设计了该设备。1988年,一种诊断电脉冲刺激器被开发出来,并被命名为“Fosfen”(Phosphene),以表示在设备操作中使用的现象,即脉冲电流对眼睛产生的光的感觉。该设备已成功应用于数万名各种眼科和中枢神经系统疾病患者在各种专业活动条件下的诊断评估。测定视神经萎缩、视网膜疾病、眼外伤和烧伤、弱视、屈光和调节异常、全身性和区域性植物功能障碍等患者视系统的电敏感性和视磷消失的临界频率。在随后的30年里,该设备改进了新的功能和参数,提供了新的诊断能力。 我们深感遗憾地告诉大家,菲拉托夫眼病和组织治疗研究所功能诊断部主任Valerii Semenovych Ponomarchuk教授、医学博士和乌克兰荣誉博士于2023年9月12日逝世。1948年6月2日,瓦莱里·谢苗诺维奇出生于乌克兰尼古拉耶夫地区。在完成中学教育后,他于1964年进入敖德萨医学院,并以优异的成绩毕业,成为一名医疗助理。在Pirogov Odesa医学研究所以普通医学荣誉毕业后,他于1974年在Filatov眼科疾病和组织治疗研究所功能诊断实验室担任初级研究员,开始了他的职业生涯。1987年,Valerii Semenovych被提升为功能诊断部门的高级研究员和负责人,并一直担任该部门的负责人,直到他去世。他的第一个重要学术成就是在1981年为他的医学硕士论文《因边缘系统结构的影响而继发的眼压控制丧失》进行辩护。1995年获博士学位论文《视觉系统的早期功能变化和自主神经系统功能障碍的病理机制》答辩,1998年获教授称号。1996年至2006年,Ponomarchuk教授担任眼科专业论文答辩委员会的学术秘书;2006 - 2012年国家临床医学学位论文答辩委员会专家;2012年至2014年,乌克兰教育、科学、青年和体育部临床医学(外科疾病)国家学位和职称委员会专家。2002年,他当选为乌克兰眼科学会副会长。他的研究和实践活动主要集中在视觉生理学,眼睛和视觉系统疾病的早期功能诊断,以及低强度物理刺激(如电刺激、光刺激和肌肉刺激)治疗各种眼病的疗效。Ponomarchuk教授还进行了自主神经系统功能障碍对眼睛的影响的研究,这些研究的结果为眼科的一个新领域——植物眼科学奠定了基础。他开发了各种技术(电生理技术;中枢和外周视野、脑和眼循环以及光敏感性的研究,用于视觉系统疾病的临床前诊断和综合色觉评估。这些技术在菲拉托夫研究所和乌克兰的许多眼科中心得到了成功的应用。波诺马丘克教授是一位活跃的发明家。1988年,他开始与“shstorm”研究所的工程师合作,开发了许多诊断和治疗设备(眼科电光刺激器“Fosfen”),这些设备已被引入临床实践,目前在乌克兰和国外的250多个地点使用。Valerii Semenovych在70年代中期提出了基于光幻视效应的主要视觉通路电诊断的想法,从那时起,他一直在发展并将其付诸实践。当时,功能诊断实验室的电生理组使用了一台10年前的诊断电脉冲刺激器ELS-01。该装置的外观和方法论价值逐年恶化。此外,以实验室为基础的眼科进修课程的参与者同意该方法是适当的,但对该设备在市场上不可用感到不满。为了解决他们的担忧,Valerii Semenovych提出了至少开发几种诊断电子模拟器的想法。为该设备制定了技术设计任务,“风暴”研究所的设计工程师Volodymyr Andriiovych Ivanov在此任务的基础上设计了该设备。1988年,一种诊断电脉冲刺激器被开发出来,并被命名为“Fosfen”(Phosphene),以表示在设备操作中使用的现象,即脉冲电流对眼睛产生的光的感觉。该设备已成功应用于数万名各种眼科和中枢神经系统疾病患者在各种专业活动条件下的诊断评估。测定视神经萎缩、视网膜疾病、眼外伤和烧伤、弱视、屈光和调节异常、全身性和区域性植物功能障碍等患者视系统的电敏感性和视磷消失的临界频率。在随后的30年里,该设备改进了新的功能和参数,提供了新的诊断能力。 各种类型的“Fosfen”电子模拟器不仅用于诊断,而且还用于治疗一些视觉系统障碍。自1995年以来,这些眼科刺激器曾两次在基辅举行的乌克兰经济成就展上展出,并获得银奖。Valerii Semenovych和他的同事在研究一种新的诊断方法(“phosphene diagnostics”)和治疗方法(“phosphene
{"title":"In Memoriam: Valerii Semenovych Ponomarchuk","authors":"Наталя Храменко","doi":"10.31288/oftalmolzh202356364","DOIUrl":"https://doi.org/10.31288/oftalmolzh202356364","url":null,"abstract":"It is with deep regret that we share sad news of the passing of Professor Valerii Semenovych Ponomarchuk, Head of the Functional Diagnostics Department at the Filatov Institute of Eye Diseases and Tissue Therapy, Dr Sc (Med) and Merited Doctor of Ukraine, who died on 12 September 2023. Valerii Semenovych was born on June 2, 1948, in Mykolaiv region, Ukraine. After completing his secondary school education, he went on to Odesa Medical School in 1964 which he graduated with Honors to become a medical assistant. After graduating with Honors in General Medicine at the Pirogov Odesa Medical Institute, he began his career as a junior researcher at the Functional Diagnostics Laboratory, the Filatov Institute of Eye Diseases and Tissue Therapy, in 1974. Valerii Semenovych was promoted to senior researcher and head of the Functional Diagnostics Department in 1987, and remained at the head of the department until his death. His first significant academic achievement was defending his Cand Sc (Med) thesis, Loss of Intraocular Pressure Control Secondary to Effects Exerted on Limbic System Structures, in 1981. He defended his doctoral (Dr Sc (Med)) dissertation, Early Functional Changes in the Visual System and the Pathological Mechanisms of These Changes in Autonomic Nervous System Dysfunction, in 1995, and was awarded the title of professor in 1998. Professor Ponomarchuk was academic secretary for the Dissertation Defense Council specializing in ophthalmology, from 1996 to 2006; expert of the State Dissertation Defense Board in clinical medicine, from 2006 to 2012; and expert of the State Commission for Academic Degrees and Titles at the Ministry of Education, Science, Youth and Sport of Ukraine in clinical medicine (surgical disorders), from 2012 to 2014. In 2002, he was elected a Vice-President of the Ukrainian Ophthalmological Society. His research and practical activities were focused on the physiology of vision, early functional diagnosis of disorders of the eye and visual system, and efficacy of treating various eye diseases with low-intensity physical stimuli (e.g., electric stimulation, photic stimulation and muscle stimulation). Professor Ponomarchuk also conducted studies on the effects of autonomic nervous system dysfunction on the eye, and the results of these studies laid down the foundation for a new area of ophthalmology, vegetoophthalmology. He developed various sets of techniques (electrophysiology techniques; studies of the central and peripheral fields of vision, cerebral and ocular circulation, and light sensitivity) for pre-clinical diagnosis of visual system disorders and comprehensive color vision evaluation. These techniques are successfully used at the Filatov institute and many eye centers of Ukraine. Professor Ponomarchuk was an active inventor. In 1988, he began his collaboration with engineers of “Shtorm” Research Institute to develop a number of diagnostic and treatment devices (ophthalmological electric and photic stimulators ","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"79 17-18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postage stamps as a means of propaganda to promote eye examination and vision screening 以邮票作为宣传手段,推广眼科检查及视力普查
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202355962
Ксенія Трояновська, Андрій Король, Оксана Блавацька, І. І. Желтвай
Postage stamps as a means of propaganda to promote eye examination and vision screening
以邮票作为宣传手段,推广眼科检查及视力普查
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引用次数: 0
Femtosecond laser LenSx–assisted phacoemulsification of mature intumescent cataract 飞秒激光lensx辅助成熟膨胀性白内障超声乳化术
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202351115
Сергій Дмитрієв, Яков Гриценко
Background: Phacoemulsification (phaco) of mature intumescent cataract is one of the most difficult to perform anterior eye surgeries. In mature intumescent cataract phaco, the most difficult phase is performing a continuous capsulorhexis which should be as round as possible. The incidence of an anterior capsular tear during capsulorhexis has been reported to range from 0.8 to 5.0% and increases with an increase in cataract density. This is because in dense intumescent cataracts, capsulorhexis tends to extend to the periphery due to high intracapsular pressure. Femtosecond laser–assisted phaco of mature intumescent cataract enables a safe laser-assisted capsulotomy with a substantially reduced risk of intraoperative complications. Because this approach is as yet not widely used in ophthalmology, we aimed to share our experience in the use of femtosecond laser in phacoemulsification of mature and intumescent cataracts. Purpose: To assess the efficacy of femtosecond laser–assisted treatment of mature intumescent cataract. Methods: Sixty-five patients (68 eyes) with mature intumescent senile cataract underwent femtosecond laser-assisted cataract surgery (FLACS) with intraocular lens (IOL) implantation and were involved in this study. Results: In 55 eyes (80.8%), laser capsulotomy of the desired diameter (5.0 mm) was performed completely. In 8 eyes (11.7%), capsular bridges (capsular tissue remnants at the site of laser-assisted cut of the anterior capsule) were seen. In addition, after the laser phase of surgery, 3 eyes (4.4%) showed an irregularly shaped anterior capsular disc due to the failure of the laser to cut through the capsule in several regions. In all study eyes, the IOL was well centered in the bag. Conclusion: In eyes with mature intumescent cataract, it is reasonable to use the femtosecond laser for a safe and accurate anterior capsulorhexis to avoid the severe intraoperative complications (those associated with posterior capsular rapture and vitreous prolapse) that can be seen during manual capsulorhexis.
背景:成熟膨胀性白内障的超声乳化术是最困难的前眼手术之一。在成熟的扩张性白内障晶状体中,最困难的阶段是进行连续的撕囊术,撕囊术应尽可能圆。据报道,在撕囊术中前囊撕裂的发生率为0.8 - 5.0%,并随着白内障密度的增加而增加。这是因为在致密性膨胀性白内障中,由于囊内高压,撕囊倾向于向外周延伸。飞秒激光辅助成熟膨胀性白内障的白内障切除术是一种安全的激光辅助白内障囊切开术,术中并发症的风险大大降低。由于这种方法尚未在眼科中广泛应用,我们的目的是分享我们在成熟和膨大性白内障的超声乳化术中使用飞秒激光的经验。目的:评价飞秒激光辅助治疗成熟型膨胀性白内障的疗效。方法:对65例(68眼)成熟型膨胀性老年性白内障行飞秒激光辅助白内障手术(FLACS)联合人工晶状体植入术。结果:55只眼(80.8%)完全完成了所需直径(5.0 mm)的激光包膜切开术。8只眼(11.7%)出现囊桥(激光辅助切割前囊部位的囊组织残余)。此外,在激光手术阶段后,3只眼(4.4%)由于激光未能在多个区域切开前囊而出现形状不规则的前囊盘。在所有的研究眼中,人工晶状体在袋内的中心位置良好。结论:对于成熟的膨出性白内障,采用飞秒激光安全、准确地进行前囊撕脱术是合理的,可避免人工撕脱术中出现的严重并发症(后囊膜破裂、玻璃体脱垂)。
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引用次数: 0
Assessing serum cytokine and immunoglobulin levels in patients with allergic rhinitis and allergic rhinoconjunctivitis before and after treatment supplemented with macromycetes 评估变应性鼻炎和变应性鼻结膜炎患者在治疗前后的血清细胞因子和免疫球蛋白水平
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202352226
Віктор Богданов, Сергій Пухлік, Марія Макарова, Світлана Полякова, Кирило Богданов
Background: In recent decades, the prevalence of allergic rhinitis (AR) has been increasing all over the world including Ukraine. Allergic rhinoconjunctivitis (ARC) is one of the most common clinical forms of AR. An imbalance between pro-inflammatory and anti-inflammatory cytokines is known to have a key role in allergic inflammation. Purpose: To compare cytokine and immunoglobulin levels among patients with AR and ARC treated with different therapeutic options. Material and Methods: Forty patients with AR and ARC (age range, 20 to 46 years) were included in the study. Disease duration ranged from 6 months to 2 years. Patients were divided into two subgroups of 20 patients each. Patients of subgroup 1 received the basic therapy (a 10-mg loratadin tablet daily and mometasone furoate nasal spray at a dosage of 200 μg once daily), whereas patients of subgroup 2, the basic therapy plus polypore macromycetes (Astmagan), one capsule twice daily. Treatment course duration was 90 days. The control group was composed of 25 healthy individuals. A comprehensive clinical immunological examination was conducted at baseline and on the completion of the treatment course. Enzyme-linked immunosorbent assay kits were used to determine serum levels of immunoglobulins A (IgA), IgM, IgG, and IgE, and cytokines (gamma interferon (IFN-γ) and IL4). Results: At baseline, serum levels of IgA, IgM and IgE were almost twice as high (р = 0.0008; 0.0005; and 0.0001, respectively); IgG, 1.2 times higher (р = 0.001); pro-inflammatory cytokine IL4, 3.5 times higher (р = 0.0001); and anti-inflammatory cytokine IFN-γ, 2.4 times lower (р = 0.0001) in patients with AR and ARC compared to controls, and these differences were significant. Astmagan, when used as an adjunct to the basic treatment of AR and ARC, contributed to 8%, 17%, 16.2%, 7.3% and 6.0% greater decreases in the serum levels of IgA, IgM, IgE, IgG and IL4, respectively, and a 16.6% greater increase in the serum level of IFN-γ compared to the basic treatment only, and these differences were significant, with an improvement in immune response to therapy.
背景:近几十年来,变应性鼻炎(AR)的患病率在包括乌克兰在内的世界范围内呈上升趋势。变应性鼻结膜炎(ARC)是临床上最常见的变应性鼻结膜炎之一。促炎细胞因子和抗炎细胞因子之间的失衡是变应性炎症的关键因素。目的:比较不同治疗方案治疗的AR和ARC患者的细胞因子和免疫球蛋白水平。材料和方法:40例AR和ARC患者(年龄20 ~ 46岁)纳入研究。病程从6个月到2年不等。患者分为两个亚组,每组20例。亚组患者给予基础治疗(氯雷他定片10mg / d,糠酸莫米松鼻喷雾剂200 μg / d, 1次/ d),亚组患者给予基础治疗加多孔大菌(Astmagan) 1粒/ d, 2次/ d。疗程90 d。对照组由25名健康个体组成。在基线和疗程结束时进行了全面的临床免疫学检查。采用酶联免疫吸附测定试剂盒检测血清免疫球蛋白A (IgA)、IgM、IgG和IgE以及细胞因子(γ干扰素(IFN-γ)和il - 4)水平。结果:基线时,血清IgA、IgM和IgE水平几乎是基线时的两倍(χ = 0.0008;0.0005;和0.0001);IgG升高1.2倍(p < 0.001);促炎细胞因子IL4升高3.5倍(χ = 0.0001);和抗炎细胞因子IFN-γ,在AR和ARC患者中比对照组低2.4倍(r = 0.0001),这些差异是显著的。与单纯基础治疗相比,Astmagan作为AR和ARC基础治疗的辅助治疗时,血清IgA、IgM、IgE、IgG和IL4水平分别下降8%、17%、16.2%、7.3%和6.0%,血清IFN-γ水平增加16.6%,这些差异是显著的,并改善了免疫应答。
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引用次数: 0
Disorders of aqueous humor flow in the posterior part of the eye in the mechanisms of optic nerve damage development (literature review) 眼后部房水流动紊乱在视神经损伤发展机制中的作用(文献综述)
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202354652
Н. М. Мойсеєнко
The study based on the literature search revealed that the peculiarities of fluid circulation in the posterior part of the eye have been studied insufficiently compared to the anterior part. It is suggested that the retina and optic nerve have their own cleansing system, which functions independently or in interaction with the brain's cleansing system. Of interest is the theory of the glymphatic system of the eye, which probably functions similarly to the glymphatic system of the brain, has four segments and ensures the exchange between intraocular, intracranial and interstitial fluids and the removal of metabolic waste products in the posterior part of the eye. Purpose. To determine the disorders of fluid circulation in the posterior part of the eye in the mechanisms of optic nerve damage development according to the literature. Methods: literature search of 48 sources. It is important to understand that the optic nerve under normal conditions passes a large amount of fluid from the eye to the brain and vice versa. The balance of perfusion (and, presumably, reperfusion in case of pathology) is ensured by the lamina cribrosa, the location of subarachnoid spaces in different parts of the nerve, and the AQP4 channels that support them. The question is whether the optic nerve has its own separate glymphatic system, or whether it interacts with the glymphatic system of the brain. It also remains unclear how the circulation of intraocular fluid, interstitial fluid of the retina and brain, and cerebrospinal fluid in the optic nerve is coordinated with blood, as well as with fluctuations in atmospheric pressure. Although this theory has not yet been recognized, it nevertheless has many supporters who explain optic nerve damage as a result of fluid circulation disturbances. The slowing of fluid flow, as well as the slowing of axonal transport, can be considered as the moment when neuropathy transforms into optic atrophy. That is why the study of the peculiarities of fluid flow and exchange in the posterior part of the eye is important when studying diseases of the optic nerve, whereas the correction of such circulation disorders could be used for therapeutic purposes. Conclusion. Impaired fluid circulation in the posterior part of the eye can occur in mechanisms of optic nerve damage. Improved diagnostics with the ability to assess hydrodynamics will help to understand the role of individual components, while their correction will likely contribute to the optic nerve recovery.
本研究在文献检索的基础上发现,相对于眼球前部,对眼球后部液体循环的特殊性研究不足。这表明视网膜和视神经有自己的清洁系统,它们独立或与大脑的清洁系统相互作用。有趣的是关于眼睛淋巴系统的理论,它的功能可能类似于大脑的淋巴系统,有四个部分,并确保眼内、颅内和间质液体之间的交换以及眼后部代谢废物的清除。目的。根据文献资料确定视神经损伤发展机制中眼后部液体循环障碍。方法:文献检索48篇文献。重要的是要明白,视神经在正常情况下将大量液体从眼睛输送到大脑,反之亦然。血流灌注的平衡(在病理情况下可能是再灌注)是由网层、神经不同部位蛛网膜下腔的位置以及支持它们的AQP4通道保证的。问题是视神经是否有自己独立的淋巴系统,或者它是否与大脑的淋巴系统相互作用。眼内液、视网膜和脑间质液以及视神经中的脑脊液的循环如何与血液以及与大气压波动协调仍不清楚。尽管这一理论尚未得到认可,但仍有许多支持者将视神经损伤解释为液体循环紊乱的结果。液体流动的减慢,以及轴突运输的减慢,可以认为是神经病变转变为视神经萎缩的时刻。这就是为什么在研究视神经疾病时,研究眼睛后部液体流动和交换的特性是很重要的,而纠正这种循环障碍可以用于治疗目的。结论。眼后部液体循环受损可发生在视神经损伤机制中。通过评估流体力学,提高诊断能力将有助于了解单个组件的作用,而它们的纠正可能有助于视神经的恢复。
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引用次数: 0
Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area 含金纳米颗粒和硬晶石的水凝胶植入物的抗菌效果,并开发用于眼眶和眶周区域重建手术
4区 医学 Q3 OPHTHALMOLOGY Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202353440
Сергій Зябліцев, Вадим Водяник
Background: It is important to develop orbital hydrogel implants capable of depositing drugs (particularly, antimicrobial and anticancer drugs). Purpose: To assess antimicrobial effects of hybrid hydrogel implants containing gold nanoparticles and albucide and developed for reconstructive surgery in the orbit and periorbital area. Material and Methods: A 30% aqueous solution of albucide was used in the study. Antimicrobial activity of synthesized hydrogels was determined using Escherichia coli ATCC 25922, Enterococcus faecalis ATCC 29213, Staphylococcus aureus ATCC 25923 and Pseudomonasa eruginosa ATCC 27853 strains. Results: All the synthesized samples of orbital hydrogel implants were sterile. The synthesized hydrogels and hydrogel nanocomposites with incorporated Au nanoparticles demonstrated bacteriostatic effects against E. Coli ATCC 25922, E. Faecalis ATCC 29213, and S. Aureus ATCC 25923 strains, and bactericidal effects against P. Aeruginosa ATCC 27853 strain. This study also demonstrated marked bactericidal effects of hybrid hydrogel implants incorporating both Au nanoparticles and albucide. Conclusion: Orbital hydrogel implants were found to be sterile after being sealed into polypropylene bags and steam sterilized at 121 °C for 20 minutes. Our findings of bacteriostatic and bactericidal effects of the synthesized hydrogels and hydrogel nanocomposites containing Au nanoparticles and albucide against bacterial strains of interest will allow for the absence of, or low probability of bacterial contamination in applications of these hydrogels in implants.
背景:开发能够存放药物(特别是抗菌药物和抗癌药物)的眼眶水凝胶植入物是非常重要的。目的:评价含金纳米颗粒和白晶硅的混合水凝胶种植体用于眼眶和眶周重建手术的抗菌效果。材料与方法:采用30%乙醇水溶液。以大肠杆菌ATCC 25922、粪肠球菌ATCC 29213、金黄色葡萄球菌ATCC 25923和铜绿假单胞菌ATCC 27853菌株对合成的水凝胶进行抑菌活性测定。结果:合成的眼窝水凝胶植入物均无菌。所合成的水凝胶及其纳米复合材料对大肠杆菌ATCC 25922、粪肠杆菌ATCC 29213和金黄色葡萄球菌ATCC 25923具有抑菌作用,对铜绿假单胞菌ATCC 27853具有杀菌作用。本研究还证明了含有金纳米颗粒和白刚玉的杂化水凝胶植入物具有显著的杀菌效果。结论:将眼窝水凝胶植入物密封于聚丙烯袋中,121℃蒸汽灭菌20分钟后,眼窝水凝胶植入物无菌。我们的研究结果表明,合成的水凝胶和含有金纳米颗粒和铝酸盐的水凝胶纳米复合材料对感兴趣的细菌菌株具有抑菌和杀菌作用,这将允许这些水凝胶在植入物中的应用中没有细菌污染或低细菌污染的可能性。
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引用次数: 0
期刊
Journal of Ophthalmology
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