Pub Date : 2023-12-07DOI: 10.25276/0235-4160-2023-3s-64-71
E.V. Boiko, A. A. Suetov, T. Doktorova, A. S. Izmaylov, A.A. Ivanov, A.V. Pischelin
Purpose. To investigate the possibility of conducting controlled laser coagulation of the retina using the feedback principle based on automated video monitoring. Material and methods. The developed automated system of laser coagulation of the retina with feedback has been tested on the fundus model in vitroand in vivoon the eyes of rabbits. The uniformity of coagulates in brightness and the required time of coagulate formation for the selected laser exposure modes were investigated. Results. On the fundus model and on the eyes of rabbits at a laser radiation power of 100, 140, 200 and 300 mW at each of the tested brightness levels in the range of 5–70% of the background value, uniform burns in brightness (coefficient of variation less than 10%) were obtained. The duration of the coagulate formation in automatic mode directly depended on the laser power: at a power of 200 and 300 mW, it did not exceed 0.3 s, at a power of 100 mW and a given brightness, it exceeded 1 s by more than 50%. With a power of 200 and 300 mW, the actual brightness was greater than planned in the range of 5–15% of the background level. With a power of 140 mW, there was no difference between the actual and planned brightness, and the duration of coagulate formation did not exceed 0.6 s with a burn brightness of 70% of the background. Conclusion. The new automated system of laser coagulation of the retina with feedback has great potential for development and implementation in clinical practice, allowing to carry out laser exposure on the fundus in vitroand in vivoto obtain reproducible threshold and near-threshold effects. Key words: retina, laser coagulation, laser system, feedback system
{"title":"Newly designed automated feedback-controlled retinal laser coagulation system","authors":"E.V. Boiko, A. A. Suetov, T. Doktorova, A. S. Izmaylov, A.A. Ivanov, A.V. Pischelin","doi":"10.25276/0235-4160-2023-3s-64-71","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-3s-64-71","url":null,"abstract":"Purpose. To investigate the possibility of conducting controlled laser coagulation of the retina using the feedback principle based on automated video monitoring. Material and methods. The developed automated system of laser coagulation of the retina with feedback has been tested on the fundus model in vitroand in vivoon the eyes of rabbits. The uniformity of coagulates in brightness and the required time of coagulate formation for the selected laser exposure modes were investigated. Results. On the fundus model and on the eyes of rabbits at a laser radiation power of 100, 140, 200 and 300 mW at each of the tested brightness levels in the range of 5–70% of the background value, uniform burns in brightness (coefficient of variation less than 10%) were obtained. The duration of the coagulate formation in automatic mode directly depended on the laser power: at a power of 200 and 300 mW, it did not exceed 0.3 s, at a power of 100 mW and a given brightness, it exceeded 1 s by more than 50%. With a power of 200 and 300 mW, the actual brightness was greater than planned in the range of 5–15% of the background level. With a power of 140 mW, there was no difference between the actual and planned brightness, and the duration of coagulate formation did not exceed 0.6 s with a burn brightness of 70% of the background. Conclusion. The new automated system of laser coagulation of the retina with feedback has great potential for development and implementation in clinical practice, allowing to carry out laser exposure on the fundus in vitroand in vivoto obtain reproducible threshold and near-threshold effects. Key words: retina, laser coagulation, laser system, feedback system","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"42 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139011640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-07DOI: 10.25276/0235-4160-2023-3s-109-115
D. Shkvorchenko, S. A. Kakunina, K. S. Norman, A.Y. Kornienko, Z.T. Shantukova, I.S. Malyshev
Purpose. To present modern literature data on the methods and problems of the recurrent macular hole surgery. Material and methods. The literature sources of PubMed database and Russian publications, dating from 2010 till 2022, were analysed. Results. The most current methods of surgical treatment of refractory macular holes, theirs advantages and disadvantages, anatomic and functional results are described in this article. Conclusion. Each of the methods described for the treatment of recurrent macular hole is effective under certain conditions, however, the universal method of surgery should be sought. Key words: recurrent macular hole refractory macular hole, vitrectomy, surgical management
{"title":"Surgical treatment of recurrent macular hole","authors":"D. Shkvorchenko, S. A. Kakunina, K. S. Norman, A.Y. Kornienko, Z.T. Shantukova, I.S. Malyshev","doi":"10.25276/0235-4160-2023-3s-109-115","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-3s-109-115","url":null,"abstract":"Purpose. To present modern literature data on the methods and problems of the recurrent macular hole surgery. Material and methods. The literature sources of PubMed database and Russian publications, dating from 2010 till 2022, were analysed. Results. The most current methods of surgical treatment of refractory macular holes, theirs advantages and disadvantages, anatomic and functional results are described in this article. Conclusion. Each of the methods described for the treatment of recurrent macular hole is effective under certain conditions, however, the universal method of surgery should be sought. Key words: recurrent macular hole refractory macular hole, vitrectomy, surgical management","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"198 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138983926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-13-18
I. Ioshin, A. Tolchinskaya, A. V. Rakova, E. A. Beresenko
Purpose. To evaluate a two-stage approach to surgical treatment of patients with cataract and primary open-angle glaucoma based on micropulse transscleral cyclophotocoagulation (MP-TSCPC) and phacoemulsification. Material and methods. The results of surgical treatment of 34 patients with cataract and primary open-angle glaucoma with non-dispersed intraocular pressure (IOP) were analyzed. A safer sequential surgery was chosen: at the first stage, MP-TSCPC was performed, at the second – cataract phacoemulsification. Results. After MP-TSCPC, the hypotensive effect was achieved in all 34 patients: IOP at the moderate stage was 14.6±1,4 mm Hg, at the advanced stage – 15.8±2,2 mm Hg. 1 month after surgery. Carrying out the second stage – phacoemulsification of cataracts 2–4 weeks after MP-TSCPC allowed to avoid reactive hypertension and achieve high functional results. IOP from the first day was 13.8±1,0 mm Hg in patients with moderate stage and 14.9±3,1 mm Hg in patients with advanced stage and remained compensated for 3 months after surgery. Visual acuity 3 months after surgery was 0.85±0.05 in patients with moderate and 0.73±0.05 with advanced stage. Anti-inflammatory prevention based on 0.1% fluorometholone acetate solution, considering the minimal effect on the IOP of the operated eye, showed promising advantages over other glucocorticoids for patients with glaucoma and cataracts. Conclusion. Sequential surgery with MP-TSCPC at the first stage and following phacoemulsification (against the background of stabilized IOP) is characterized by high functional results and minimal risk of complications in patients with comorbid pathology. Anti-inflammatory prevention based on 0.1% fluorometholone acetate solution, considering the minimal effect on IOP of the operated eye, has promising advantages for patients with glaucoma and cataracts. Key words: open-angle glaucoma, intraocular pressure, complicated cataract, micropulse cyclophotocoagulation, phacoemulsification
目的。目的:探讨微脉冲经巩膜光凝术(MP-TSCPC)和超声乳化术两阶段手术治疗白内障合并原发性开角型青光眼的方法。材料和方法。分析34例白内障合并原发性开角型青光眼伴非分散眼压的手术治疗结果。选择了更安全的顺序手术:第一阶段行MP-TSCPC，第二阶段行白内障超声乳化术。结果。MP-TSCPC术后34例患者均达到降压效果:术后1个月，中期IOP为14.6±1.4 mm Hg，晚期IOP为15.8±2.2 mm Hg。MP-TSCPC术后2-4周行第二阶段白内障超声乳化术，可避免反应性高血压，达到较高的功能效果。中期患者第一天的IOP为13.8±0.1 mm Hg，晚期患者为14.9±3.1 mm Hg，术后3个月仍保持代偿。中度患者术后3个月视力0.85±0.05，晚期患者术后3个月视力0.73±0.05。考虑到0.1%醋酸氟美洛酮溶液对手术眼的IOP影响最小，对青光眼和白内障患者的抗炎预防比其他糖皮质激素有更大的优势。结论。在第一阶段和随后的超声乳化术(在IOP稳定的背景下)进行MP-TSCPC的序贯手术的特点是高功能结果和并发症风险最小的合并症患者。基于0.1%醋酸氟美洛酮溶液的抗炎预防，考虑到对手术眼的IOP影响最小，对青光眼和白内障患者具有很好的优势。关键词:开角型青光眼，眼压，并发白内障，微脉冲光凝，超声乳化
{"title":"Promising approaches of cataract treatment in patients with primary open-angle glaucoma","authors":"I. Ioshin, A. Tolchinskaya, A. V. Rakova, E. A. Beresenko","doi":"10.25276/0235-4160-2023-2-13-18","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-13-18","url":null,"abstract":"Purpose. To evaluate a two-stage approach to surgical treatment of patients with cataract and primary open-angle glaucoma based on micropulse transscleral cyclophotocoagulation (MP-TSCPC) and phacoemulsification. Material and methods. The results of surgical treatment of 34 patients with cataract and primary open-angle glaucoma with non-dispersed intraocular pressure (IOP) were analyzed. A safer sequential surgery was chosen: at the first stage, MP-TSCPC was performed, at the second – cataract phacoemulsification. Results. After MP-TSCPC, the hypotensive effect was achieved in all 34 patients: IOP at the moderate stage was 14.6±1,4 mm Hg, at the advanced stage – 15.8±2,2 mm Hg. 1 month after surgery. Carrying out the second stage – phacoemulsification of cataracts 2–4 weeks after MP-TSCPC allowed to avoid reactive hypertension and achieve high functional results. IOP from the first day was 13.8±1,0 mm Hg in patients with moderate stage and 14.9±3,1 mm Hg in patients with advanced stage and remained compensated for 3 months after surgery. Visual acuity 3 months after surgery was 0.85±0.05 in patients with moderate and 0.73±0.05 with advanced stage. Anti-inflammatory prevention based on 0.1% fluorometholone acetate solution, considering the minimal effect on the IOP of the operated eye, showed promising advantages over other glucocorticoids for patients with glaucoma and cataracts. Conclusion. Sequential surgery with MP-TSCPC at the first stage and following phacoemulsification (against the background of stabilized IOP) is characterized by high functional results and minimal risk of complications in patients with comorbid pathology. Anti-inflammatory prevention based on 0.1% fluorometholone acetate solution, considering the minimal effect on IOP of the operated eye, has promising advantages for patients with glaucoma and cataracts. Key words: open-angle glaucoma, intraocular pressure, complicated cataract, micropulse cyclophotocoagulation, phacoemulsification","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"702 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122971391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-36-42
K. Naumov, M. I. Shlyakhtov, M. Kataev
Purpose. To evaluate early and long-term functional and anatomic results of surgical treatment of lacrimal pathways obstruction (LPO) in children with endonasal dacryocystorhinostomy (EDCR) method using ultrasound bone tissue dissector for the formation of nasolacrimal anastomosis. Material and methods. Surgical treatment of recurrent dacryocystitis of newborn (DN) after repeated unsuccessful «blind»lacrimal pathways probing in children with nasolacrimal duct obstruction, including cases of congenital nasolacrimal duct atresia. Bone «window» of the nasolacrimal anastomosis during endoscopic EDCR was formed using SONOCA 185 piezoelectric ultrasound dissector. In total, 14 children, 8 girls and 6 boys aged from 3 to 11 years (mean, 6 years) were operated with follow-up period of 6 months. Results. It was found that in all the children an adequate nasolacrimal anastomosis was formed without significant bleeding episodes both intraoperatively and in the early post-op period. No cases of destruction of the medial wall of the lacrimal sac were marked. Functional success was achieved in 92.8% (13 of14 cases). In 7.2% (1 of 14cases) there was a postoperative granuloma of the mucous in the rhinostoma region which was a partial obstacle for tear flow. Conclusions. Controlled low temperature process of nasal bones ultrasound dissection during EDCR in children allows formation of an adequate bone «window»and, therefore, a valuable nasolacrimal anastomosis in narrow nasal passages, makes the surgical procedure much easier and quicker, enables better healing of soft tissues in a shorter period. Key words: recurrent dacryocystitis of newborns, endonasal endoscopic dacryocystorhinostomy, ultrasound dissection of bone tissue
{"title":"Ultrasound endonasal dacryocystorhinostomy in the treatment of recurrent dacryocystitis in newborns","authors":"K. Naumov, M. I. Shlyakhtov, M. Kataev","doi":"10.25276/0235-4160-2023-2-36-42","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-36-42","url":null,"abstract":"Purpose. To evaluate early and long-term functional and anatomic results of surgical treatment of lacrimal pathways obstruction (LPO) in children with endonasal dacryocystorhinostomy (EDCR) method using ultrasound bone tissue dissector for the formation of nasolacrimal anastomosis. Material and methods. Surgical treatment of recurrent dacryocystitis of newborn (DN) after repeated unsuccessful «blind»lacrimal pathways probing in children with nasolacrimal duct obstruction, including cases of congenital nasolacrimal duct atresia. Bone «window» of the nasolacrimal anastomosis during endoscopic EDCR was formed using SONOCA 185 piezoelectric ultrasound dissector. In total, 14 children, 8 girls and 6 boys aged from 3 to 11 years (mean, 6 years) were operated with follow-up period of 6 months. Results. It was found that in all the children an adequate nasolacrimal anastomosis was formed without significant bleeding episodes both intraoperatively and in the early post-op period. No cases of destruction of the medial wall of the lacrimal sac were marked. Functional success was achieved in 92.8% (13 of14 cases). In 7.2% (1 of 14cases) there was a postoperative granuloma of the mucous in the rhinostoma region which was a partial obstacle for tear flow. Conclusions. Controlled low temperature process of nasal bones ultrasound dissection during EDCR in children allows formation of an adequate bone «window»and, therefore, a valuable nasolacrimal anastomosis in narrow nasal passages, makes the surgical procedure much easier and quicker, enables better healing of soft tissues in a shorter period. Key words: recurrent dacryocystitis of newborns, endonasal endoscopic dacryocystorhinostomy, ultrasound dissection of bone tissue","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129457306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-105-110
E. P. Sudakova, V. Yarovaya, E.O. Malakshinova
Relevance. Radiation retinopathy and maculopathy are the most common causes of visual impairment in patients with uveal melanoma treated with plaque radiotherapy. There are no standards of medical care for such patients, and various therapeutic methods of treatment are limited by rather poor results. The use of vascular endothelial growth factor inhibitors is proposed worldwide to improve visual acuity or stabilize one's with the development of post-radiation retinopathy, even though today the use of such methods is «off label». Purpose. To analyze the development of radiation maculopathy in patients with uveal melanoma treated with plaque radiotherapy and its intravitreal anti–vascular endothelial growth factor treatment. Material and methods. To perform the review, a search was carried out for literature sources on the Pubmed and Scopus reference databases for the period up to 2022 inclusive using the following keywords: «uveal melanoma», «radiation maculopathy», «anti-vascular endothelial growth factor», «plaque therapy complications». A total of 39 articles related to the review topic were selected. Results. It can be concluded that intravitreal anti-vascular endothelial growth factor treatment of uveal melanoma shows its effectiveness in reducing the height of macular edema and in improving visual acuity. Conclusion. This method of therapy certainly necessitates repeated treatment, since with single injections it is not possible to achieve a positive result. However, it is impossible to predict how much vision will improve and how many injections of drugs each individual patient will need today. Key words: uveal melanoma, radiation maculopathy, anti-vascular endothelial growth factor, plaque therapy
{"title":"Intravitreal anti-vascular endothelial growth factor treatment in patients with radiation retinopathy following plaque radiotherapy for uveal melanoma","authors":"E. P. Sudakova, V. Yarovaya, E.O. Malakshinova","doi":"10.25276/0235-4160-2023-2-105-110","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-105-110","url":null,"abstract":"Relevance. Radiation retinopathy and maculopathy are the most common causes of visual impairment in patients with uveal melanoma treated with plaque radiotherapy. There are no standards of medical care for such patients, and various therapeutic methods of treatment are limited by rather poor results. The use of vascular endothelial growth factor inhibitors is proposed worldwide to improve visual acuity or stabilize one's with the development of post-radiation retinopathy, even though today the use of such methods is «off label». Purpose. To analyze the development of radiation maculopathy in patients with uveal melanoma treated with plaque radiotherapy and its intravitreal anti–vascular endothelial growth factor treatment. Material and methods. To perform the review, a search was carried out for literature sources on the Pubmed and Scopus reference databases for the period up to 2022 inclusive using the following keywords: «uveal melanoma», «radiation maculopathy», «anti-vascular endothelial growth factor», «plaque therapy complications». A total of 39 articles related to the review topic were selected. Results. It can be concluded that intravitreal anti-vascular endothelial growth factor treatment of uveal melanoma shows its effectiveness in reducing the height of macular edema and in improving visual acuity. Conclusion. This method of therapy certainly necessitates repeated treatment, since with single injections it is not possible to achieve a positive result. However, it is impossible to predict how much vision will improve and how many injections of drugs each individual patient will need today. Key words: uveal melanoma, radiation maculopathy, anti-vascular endothelial growth factor, plaque therapy","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116170250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-6-12
B. Laptev, A.B. Lapteva, A.Y. Renzyak
Purpose. To evaluate postoperative vault parameters – from the posterior surface of the phakic posterior intraocular lens (PIOL) to the anterior surface of the lens, its correlation with the preoperative data study and the choice of the PIOL size. Material and methods. This research was based on the retrospective analysis of 128 eyes (64 patients) for the period from February 2019 to May 2021. The age of patients varied from 21.0 to 42.0 29.5±5.5 (mean 29.5±5.5) years. All patients underwent PIOL implantation with Staar EVO Visian ICL (V4C) PIOL. The follow-up period ranged between 3 to 24 months. Associations between the postoperative vault and age, ICL size, spherical equivalent (SE), axial length (AL), anterior chamber depth (ACD), white-to-white (WTW) were investigated using Spearman's correlation analysis and stepwise multiple regression analysis. Accepted confidence level p<0.05. Results. The mean values of the vault were from 142 to 1340µm (576,56±245,77µm). Statistical analysis revealed that the postoperative vault height had a moderate correlation with WTW, IOL size and ACD (anterior chamber depth). There was no significant correlation with age, spherical equivalent, axial length. There was a strong correlation between PIOL's size and WTW, and a significant correlation with ACD. Stepwise multiple regression showed that ICL size, anterior chamber depth, WTW were significant factors associated with postoperative vault (adjusted R²S 0.359). Conclusion. The assessment of the size of the postoperative vault and its dependence on the data of the preoperative study showed that the size of the PIOL and the depth of the anterior chamber have the greatest influence on the formation of the postoperative vault. Optimal postoperative vault was achieved in 86% cases. In conclusion, the currently existing method for PIOL sizing does not always yield ideal vault. In some cases, it is necessary to choose a smaller PIOLs size to obtain the optimal vault. Key words: phakic IOL, ICL implantation, postoperative vault, whiteto-white
{"title":"Experience of phakic lens implantation for the correction of myopia and astigmatism: feature of preoperative examination and lens parameters","authors":"B. Laptev, A.B. Lapteva, A.Y. Renzyak","doi":"10.25276/0235-4160-2023-2-6-12","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-6-12","url":null,"abstract":"Purpose. To evaluate postoperative vault parameters – from the posterior surface of the phakic posterior intraocular lens (PIOL) to the anterior surface of the lens, its correlation with the preoperative data study and the choice of the PIOL size. Material and methods. This research was based on the retrospective analysis of 128 eyes (64 patients) for the period from February 2019 to May 2021. The age of patients varied from 21.0 to 42.0 29.5±5.5 (mean 29.5±5.5) years. All patients underwent PIOL implantation with Staar EVO Visian ICL (V4C) PIOL. The follow-up period ranged between 3 to 24 months. Associations between the postoperative vault and age, ICL size, spherical equivalent (SE), axial length (AL), anterior chamber depth (ACD), white-to-white (WTW) were investigated using Spearman's correlation analysis and stepwise multiple regression analysis. Accepted confidence level p<0.05. Results. The mean values of the vault were from 142 to 1340µm (576,56±245,77µm). Statistical analysis revealed that the postoperative vault height had a moderate correlation with WTW, IOL size and ACD (anterior chamber depth). There was no significant correlation with age, spherical equivalent, axial length. There was a strong correlation between PIOL's size and WTW, and a significant correlation with ACD. Stepwise multiple regression showed that ICL size, anterior chamber depth, WTW were significant factors associated with postoperative vault (adjusted R²S 0.359). Conclusion. The assessment of the size of the postoperative vault and its dependence on the data of the preoperative study showed that the size of the PIOL and the depth of the anterior chamber have the greatest influence on the formation of the postoperative vault. Optimal postoperative vault was achieved in 86% cases. In conclusion, the currently existing method for PIOL sizing does not always yield ideal vault. In some cases, it is necessary to choose a smaller PIOLs size to obtain the optimal vault. Key words: phakic IOL, ICL implantation, postoperative vault, whiteto-white","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128568669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-80-85
G. Gladysheva, I. Plisov, N. Antsiferova, V. B. Pushchina
Purpose. To analyze the success of using prisms in conjugate horizontal gaze paresis compared to other treatment methods. Material and methods. The study involved 30 patients with conjugate horizontal gaze paresis. The average age of patients at the time of treatment was 57.8±6.68 years. The average period of clinical follow-up for strabismus symptoms in patients after the appropriate treatment was 12.6±3.8 months. The patients were divided into two groups: the first group (main group) of 15 patients who underwent prismatic correction in combination with etiopathogenetic treatment and 15 patients (control group) who underwent etiopathogenetic treatment without prismatic correction. Results. The treatment results were evaluated according to three criteria: absence of abnormal head posture (AHP) and diplopia, as well as elimination of esotropia. Based on our data, the AHP angle did not reveal statistically significant difference at the stage before treatment (p=0.999), however, during treatment in the first group (using prismatic correction), it was 4.4 times less than in the second group (p<0.001). Similar data were obtained in relation to esotropia. Results of the statistical analysis showed that during treatment, frequency of binocular single vision exposed a statistically significant increase (p<0.05) in both the first and second groups. Conclusion. Thus, for 15 patients with conjugate horizontal gaze paresis, prismatic correction made it possible to create conditions for shifting the image perceived by a patient to a straight field of gaze, as well as to eliminate the occurrence of induced heterotropia and diplopia in the attempt to look straight and, accordingly, the formation of AHP. The proposed method provided an opportunity to reduce complaints and improve the patients' quality of life. Key words: conjugate horizontal gaze paresis, diplopia, abnormal head posture, Fresnel prisms
{"title":"Conjugate horizontal gaze paresis – what tactics to choose","authors":"G. Gladysheva, I. Plisov, N. Antsiferova, V. B. Pushchina","doi":"10.25276/0235-4160-2023-2-80-85","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-80-85","url":null,"abstract":"Purpose. To analyze the success of using prisms in conjugate horizontal gaze paresis compared to other treatment methods. Material and methods. The study involved 30 patients with conjugate horizontal gaze paresis. The average age of patients at the time of treatment was 57.8±6.68 years. The average period of clinical follow-up for strabismus symptoms in patients after the appropriate treatment was 12.6±3.8 months. The patients were divided into two groups: the first group (main group) of 15 patients who underwent prismatic correction in combination with etiopathogenetic treatment and 15 patients (control group) who underwent etiopathogenetic treatment without prismatic correction. Results. The treatment results were evaluated according to three criteria: absence of abnormal head posture (AHP) and diplopia, as well as elimination of esotropia. Based on our data, the AHP angle did not reveal statistically significant difference at the stage before treatment (p=0.999), however, during treatment in the first group (using prismatic correction), it was 4.4 times less than in the second group (p<0.001). Similar data were obtained in relation to esotropia. Results of the statistical analysis showed that during treatment, frequency of binocular single vision exposed a statistically significant increase (p<0.05) in both the first and second groups. Conclusion. Thus, for 15 patients with conjugate horizontal gaze paresis, prismatic correction made it possible to create conditions for shifting the image perceived by a patient to a straight field of gaze, as well as to eliminate the occurrence of induced heterotropia and diplopia in the attempt to look straight and, accordingly, the formation of AHP. The proposed method provided an opportunity to reduce complaints and improve the patients' quality of life. Key words: conjugate horizontal gaze paresis, diplopia, abnormal head posture, Fresnel prisms","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125431851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-20-27
I. V. Dutchin, M. V. Pshenichnov
Purpose. To evaluate long term cornea characteristics after Nd:YAG laser destruction of epithelial ingrowth in patients after Femto-LASIK and ReLEx Smile and assess its safety according to the state of the corneal endothelium. Material and methods. Due to the rather rare development of this condition, clinical material is presented by 6 cases (6 eyes): 4 men and 2 women aged 22 to 43 years, average 34.6±2.7 years. The average degree of myopia is –4.75 diopters. The Femto-LASIK technique was performed in 3 eyes, and ReLEx Smile – in 3 eyes. All surgeries were carried out without complications, the patients were discharged at the place of residence with the usual recommendations. The timing of epithelial ingrowth after refractive surgery varied from one week to 3 months. The number of sessions of Nd:YAG laser destruction varied regardless of the type of epithelial ingrowth and the technique of previous refractive surgery. The safety of the treatment was confirmed by studying the state of the corneal endothelium of the operated patients. Results. In all 6 cases, it was possible to achieve complete destruction of the zones of epithelial ingrown. Epithelial ingrowth was eliminated at one patient in 5 sessions, at two – in 3 sessions, at two – in 2 sessions and at one – in one session. The number of sessions and the number of impulses in different patients varied greatly and it was not possible to draw a direct parallel between the volume of epithelial ingrown and the total number of impulses. Conclusion. Analysis of long-term results of treatment of epithelial ingrowth by the method of Nd:YAG laser destruction showed good efficiency and atraumaticity for the cornea. The advantage of this technique is its ease of implementation, which is especially important after the ReLEx Smile technology. The use of Nd:YAG laser is effective method of epithelial ingrowth destruction. Key words: Femto-LASIK, ReLEx Smile, epithelial ingrowth, Nd:YAG laser, corneal endothelium, Nd:YAG laser destruction
{"title":"Long-term results of Nd:YAG laser destruction of epithelial ingrowth after Femto-LASIK and ReLEx Smile","authors":"I. V. Dutchin, M. V. Pshenichnov","doi":"10.25276/0235-4160-2023-2-20-27","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-20-27","url":null,"abstract":"Purpose. To evaluate long term cornea characteristics after Nd:YAG laser destruction of epithelial ingrowth in patients after Femto-LASIK and ReLEx Smile and assess its safety according to the state of the corneal endothelium. Material and methods. Due to the rather rare development of this condition, clinical material is presented by 6 cases (6 eyes): 4 men and 2 women aged 22 to 43 years, average 34.6±2.7 years. The average degree of myopia is –4.75 diopters. The Femto-LASIK technique was performed in 3 eyes, and ReLEx Smile – in 3 eyes. All surgeries were carried out without complications, the patients were discharged at the place of residence with the usual recommendations. The timing of epithelial ingrowth after refractive surgery varied from one week to 3 months. The number of sessions of Nd:YAG laser destruction varied regardless of the type of epithelial ingrowth and the technique of previous refractive surgery. The safety of the treatment was confirmed by studying the state of the corneal endothelium of the operated patients. Results. In all 6 cases, it was possible to achieve complete destruction of the zones of epithelial ingrown. Epithelial ingrowth was eliminated at one patient in 5 sessions, at two – in 3 sessions, at two – in 2 sessions and at one – in one session. The number of sessions and the number of impulses in different patients varied greatly and it was not possible to draw a direct parallel between the volume of epithelial ingrown and the total number of impulses. Conclusion. Analysis of long-term results of treatment of epithelial ingrowth by the method of Nd:YAG laser destruction showed good efficiency and atraumaticity for the cornea. The advantage of this technique is its ease of implementation, which is especially important after the ReLEx Smile technology. The use of Nd:YAG laser is effective method of epithelial ingrowth destruction. Key words: Femto-LASIK, ReLEx Smile, epithelial ingrowth, Nd:YAG laser, corneal endothelium, Nd:YAG laser destruction","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122607264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-70-78
M. Kataev, M. Zakharova
Relevance. Frontalis suspension is used in patients with severe upper eyelid ptosis. Despite the long history of the operation and multiple modifications, none of them gives a lifelong result. The use of suspensions sling materials that grow into tissue increases the surgical trauma during their removal if correction is necessary or recurrence of ptosis. Thus, the task is to choose a method of frontalis suspension, that would be easy to perform have an excellent result. Purpose. To evaluate the effectiveness, execution simplicity and reliability of the frontalis suspension using the «sliding eight» technique with polypropylene suture in patients with severe upper eyelid ptosis. Material and methods. A retrospective study of 84 patients (110 eyelids) with severe ptosis of upper eyelid. A frontalis suspension surgery for removing upper eyelid with the use of 4/0 polypropylene suture was performed in he all patients. The threads were passed into the thickness of the eyelids and brows through previously made skins incisions. The patients were divided into 3 groups: in the first group (25 patients) we used polypropylene frontalis suspension with two needles of the pentagon suspension designs, in the second group (28 patients) we used two polypropylene sutures in the form of two rectangles, in the third group (31 patients) we used the «sliding eight» technique. Results. In the first group, in 5 cases there was a deformation of the upper eyelid contour, in 2 cases a recurrence of ptosis was diagnosed. In the second group, the deformation of the upper eyelid contour was in 4 cases, and a recurrence of ptosis also developed in 2 patients. In the third group, we did not notice any deformation of the upper eyelid contour and palpebral folds. In two cases, recurrent ptosis was diagnosed. The operation time in the first group of patients was 30.21±5.048 min, in the second group – 32.97±3.68 min, in the third – 26.5±3.03 min. The duration of the operation was statistically significantly different between groups 1 and 3 and groups 2 and 3. Conclusion. Surgical treatment of severe ptosis of upper eyelid using the «sliding eight» technique has shown its effectiveness, ease of execution and reliability. This elegant technique minimizes postoperative complications in the form of asymmetry in the position of the upper eyelid, is easy to perform, leaves virtually no scarring, and can be repeated without significant surgical trauma. Key words: severe ptosis of eyelids, brow suspension surgery, polypropylene
{"title":"Frontalis suspension for severe upper eyelid ptosis: advantages of the «sliding eight» technique","authors":"M. Kataev, M. Zakharova","doi":"10.25276/0235-4160-2023-2-70-78","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-70-78","url":null,"abstract":"Relevance. Frontalis suspension is used in patients with severe upper eyelid ptosis. Despite the long history of the operation and multiple modifications, none of them gives a lifelong result. The use of suspensions sling materials that grow into tissue increases the surgical trauma during their removal if correction is necessary or recurrence of ptosis. Thus, the task is to choose a method of frontalis suspension, that would be easy to perform have an excellent result. Purpose. To evaluate the effectiveness, execution simplicity and reliability of the frontalis suspension using the «sliding eight» technique with polypropylene suture in patients with severe upper eyelid ptosis. Material and methods. A retrospective study of 84 patients (110 eyelids) with severe ptosis of upper eyelid. A frontalis suspension surgery for removing upper eyelid with the use of 4/0 polypropylene suture was performed in he all patients. The threads were passed into the thickness of the eyelids and brows through previously made skins incisions. The patients were divided into 3 groups: in the first group (25 patients) we used polypropylene frontalis suspension with two needles of the pentagon suspension designs, in the second group (28 patients) we used two polypropylene sutures in the form of two rectangles, in the third group (31 patients) we used the «sliding eight» technique. Results. In the first group, in 5 cases there was a deformation of the upper eyelid contour, in 2 cases a recurrence of ptosis was diagnosed. In the second group, the deformation of the upper eyelid contour was in 4 cases, and a recurrence of ptosis also developed in 2 patients. In the third group, we did not notice any deformation of the upper eyelid contour and palpebral folds. In two cases, recurrent ptosis was diagnosed. The operation time in the first group of patients was 30.21±5.048 min, in the second group – 32.97±3.68 min, in the third – 26.5±3.03 min. The duration of the operation was statistically significantly different between groups 1 and 3 and groups 2 and 3. Conclusion. Surgical treatment of severe ptosis of upper eyelid using the «sliding eight» technique has shown its effectiveness, ease of execution and reliability. This elegant technique minimizes postoperative complications in the form of asymmetry in the position of the upper eyelid, is easy to perform, leaves virtually no scarring, and can be repeated without significant surgical trauma. Key words: severe ptosis of eyelids, brow suspension surgery, polypropylene","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122745666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-21DOI: 10.25276/0235-4160-2023-2-98-104
A. Yarovoy, T. V. Sokolovskaya, E. Krasnova, A. D. Matyaeva
Purpose. To analyze the literature on the main aspects of etiology, pathogenesis of secondary glaucoma in tumor diseases of visual organs. Material and methods. PubMed, Scopus and eLIBRARY databases for the period up to 2022 were used for article selection, and the following keywords were used in the mesh: secondary glaucoma, tumor, neovascularization, pigment dispersion (and the same phrases in Russian). Results. The literature review presents various pathological mechanisms of developing secondary glaucoma. The reasons of decreased outflow of intraocular fluid of drainage and embedded (uveoscleral) pathways, lead to the increase of intraocular pressure in neoplastic glaucoma and depend on the type of eye tumor, its localization and size. This determines the necessity for a differentiated approach to the treatment of patients with secondary glaucoma and the development of pathogenetically oriented methods of treatment. Conclusion. Almost all of the intraocular tumors can potentially lead to increase of intraocular pressure. The pathomechanisms of neoplastic glaucoma are very diverse, but the leading ones are blocking of the anterior chamber angle drainage zone by tumor, neovascularization of the anterior chamber angle structures and anterior iris-lens diaphragm displacement. In all cases, the increase in intraocular pressure is associated with the violation of aqueous humor outflow through the main drainage paths of the eye. Currently, secondary glaucoma is not given enough attention, but this problem is extremely relevant in ophthalmology. Key words: secondary glaucoma, tumor, neovascular, pigment dispersion
{"title":"Glaucoma secondary to intraocular tumors key aspects of etiopathogenesis","authors":"A. Yarovoy, T. V. Sokolovskaya, E. Krasnova, A. D. Matyaeva","doi":"10.25276/0235-4160-2023-2-98-104","DOIUrl":"https://doi.org/10.25276/0235-4160-2023-2-98-104","url":null,"abstract":"Purpose. To analyze the literature on the main aspects of etiology, pathogenesis of secondary glaucoma in tumor diseases of visual organs. Material and methods. PubMed, Scopus and eLIBRARY databases for the period up to 2022 were used for article selection, and the following keywords were used in the mesh: secondary glaucoma, tumor, neovascularization, pigment dispersion (and the same phrases in Russian). Results. The literature review presents various pathological mechanisms of developing secondary glaucoma. The reasons of decreased outflow of intraocular fluid of drainage and embedded (uveoscleral) pathways, lead to the increase of intraocular pressure in neoplastic glaucoma and depend on the type of eye tumor, its localization and size. This determines the necessity for a differentiated approach to the treatment of patients with secondary glaucoma and the development of pathogenetically oriented methods of treatment. Conclusion. Almost all of the intraocular tumors can potentially lead to increase of intraocular pressure. The pathomechanisms of neoplastic glaucoma are very diverse, but the leading ones are blocking of the anterior chamber angle drainage zone by tumor, neovascularization of the anterior chamber angle structures and anterior iris-lens diaphragm displacement. In all cases, the increase in intraocular pressure is associated with the violation of aqueous humor outflow through the main drainage paths of the eye. Currently, secondary glaucoma is not given enough attention, but this problem is extremely relevant in ophthalmology. Key words: secondary glaucoma, tumor, neovascular, pigment dispersion","PeriodicalId":424200,"journal":{"name":"Fyodorov journal of ophthalmic surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116658387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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