Saratov JOURNAL of Medical and Scientific Research

S. Fedorov Eye Microsurgery Federal State Institution

Surgical treatment of the patient with keratectasia after keratotomy followed by LASIK

Year: 2019, volume 15 Issue: №2 Pages: 544-546
Heading: Ophtalmology Article type: Case report
Authors: Syrykh I.Yu., Gavilovskaya V.A., Fabrikantov O.L.
Organization: S. Fedorov Eye Microsurgery Federal State Institution
Summary:

A clinical case of treating a patient with keratoectasia after keratotomy followed by LASIK is presented

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Comparative analysis of the application of the above- threshold laser coagulation and micropulse laser exposure in central serous chorioretinopathy

Year: 2019, volume 15 Issue: №2 Pages: 532-536
Heading: Ophtalmology Article type: Original article
Authors: Popova N.V., Fabrikantov O.L., Goydin A.P.
Organization: S. Fedorov Eye Microsurgery Federal State Institution, Tambov State University n. a. G.R. Derzhavin
Summary:

Purpose: to determine the efectiveness of above-threshold (focal) laser coagulation and micropulse laser exposure (MPLV) in patients with central serous chorioretinopathy (CCA). Material and Methods. 91 people with a diagnosis of CCA were examined. The median age was 35.2 years. Patients of the 1st group (n=19) was performed MPLV a wavelength of 810 nm; group 2 (n=31) — about threshold photocoagulation with the wavelength of 810 nm. Control group — 50 people with a natural course of the process. Results. After 1 month after treatment in group 1, visual acuity increased from 0.5±0.08 to 0.8±0.03. According to optical coherence tomography (OCT), the neuroepithelial detachment decreased from 446 to 341.3 MK. With the chronic course of the process after laser treatment, recurrence of the disease was revealed, which required an additional session of MPLV. In group 2, after 1 month, visual acuity increased from 0.6±0.20 to 0.8±0.03, neuroepithelial detachment decreased from 365 to 269 MK. Relapse of the disease in chronic form required an additional session of MPLV. After 3 months, both groups showed complete adhesion of the neurosensory retina and increased visual acuity to 0.9±1.0. Conclusion. Laser coagulation (above- threshold laser coagulation, micropulse laser exposure) is minimally invasive and highly efective in the treatment of central serous chorioretinopathy. The choice of laser treatment method depends on the

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Tactics of delivery and diagnostic evaluation in pregnant women with peripheral vitreoretinal dystrophy

Year: 2019, volume 15 Issue: №2 Pages: 528-532
Heading: Ophtalmology Article type: Original article
Authors: Popova N.V., Goydin A.P., Fabrikantov O.L., Goydin D.A.
Organization: S. Fedorov Eye Microsurgery Federal State Institution, Tambov State University n. a. G.R. Derzhavin
Summary:

Purpose: to develop recommendations on delivery tactics based on the analysis and terms of detection of various forms of peripheral vitreoretinal dystrophies in pregnant women with myopia. Material and Methods. 44 women were examined with a mean age of 31 years. Peripheral vitreochorioretinal dystrophy was detected in 82 %. All patients underwent the following studies: visometry using device TOPCON CV-5000 (Japan), autorefractometry using TOPCON KR-8900 (Japan), ultrasound biometry using TOMEY AL-3000 (Japan), eye fundus was examined by Goldman three-mirror lens using the slit lamp TAKAGI SM-70N. When severe peripheral vitreochorioretinal dystrophy is detected, it is recommended to perform peripheral laser coagulation using laser device IRIDEX IQ-810 (USA). Results. In most cases (68 %) peripheral retinal laser photocoagulation was performed with subsequent recommendations on the possibility of natural delivery, and in 32 % of cases caesarean section delivery was recommended to these women. Conclusion. Decision on delivery tactics in pregnant women with myopia should not be determined by the degree of myopia, but by the severity of pathological changes on the periphery of the retina. Medical examination of pregnant women with obligatory examination of the eye fundus with mydriasis medicamentosus in 30–34 weeks allows to identify patients at risk of retinal detachment and conduct early treatment, thereby initially reducing the frequency of operativedelivery according to the ophthalmological indications.

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Comparative analysis of morphometric parameters of the optic disc in glau-comatous eyes with discs of average and large size

Year: 2019, volume 15 Issue: №2 Pages: 510-514
Heading: Ophtalmology Article type: Original article
Authors: L'vov V.A., Machekhin V.A., Fabrikantov O.L.
Organization: S. Fedorov Eye Microsurgery Federal State Institution, Tambov State University, Medical Institute
Summary:

Purpose: using HRT and OCT to compare the outcomes of the examination of optic disc parameters in normal eyes and glaucomatous eyes with discs of standard (average) and large size. Material and Methods. 306 eyes of 160 patients (71 male, 89 female) aged 61.1±10.0 years old were analyzed retrospectively. All eyes were divided into 2 groups: group I included 162 eyes with the disc area of 1.63–2.43 mm2; group II — 144 eyes with the disc area of 2.44– 3.5 mm2. Both groups were divided into fve subgroups (healthy eyes, eyes with preperimetric glaucoma and with different stages of glaucoma). Disc parameters were analyzed using HRT 3 and RTVue-100 simultaneously in the same eyes. Results. In the group of eyes with average discs both methods (HRT and OCT) revealed the same examination outcomes of all disc parameters indicating high statistical signifcance of the diference between groups of healthy eyes and eyes with preperimetric glaucoma. In the group with large discs the parameters of peripapillar retina (RNFL) play a signifcant role. Conclusion. Preperimetric glaucoma is a valuable indicator to detect early glaucoma in the group of eyes with average discs. However, in large discs according to either HRT or OCT data peripapillar retinal parameters are the most sensitive, whereas the alterations of the internal structure of the disc itself appear later.

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Analysis of incidence of eye and adnexa diseases in the Central Black Earth region

Year: 2018, volume 14 Issue: №4 Pages: 670-676
Heading: Ophtalmology Article type: Original article
Authors: Osmanov RE, Zhabina UV, Manyakov RR, Osmanov EM.
Organization: S. Fedorov Eye Microsurgery Federal State Institution, Tambov State University n. a. G.R. Derzhavin
Summary:

The purpose is to study the dynamics of general and primary incidence of eye diseases and accessory apparatus among the population of the Central Black Earth region for the period 2008-2017, in comparison with similar indicators in the Russian Federation. Material and Methods. The article presents the data on the dynamics of general and primary incidence of eye diseases as a whole, as well as myopia and cataracts in comparison with Russia and the five regions of the Central Black Earth region (Belgorod, Voronezh, Kursk, Lipetsk, Tambov) from 2008 till 2017 Results. A comparative analysis of morbidity indicators allowed us to identify regions that are unfavorable for ocular morbidity in general and for cataracts and myopia in particular. Conclusion. The total incidence of eye diseases among the population of Russia in 2008 accounted 10994,0±2,6 cases, over ten years there was a decrease to 10370,9±2,5 cases per 100000 persons. The primary incidence rate of eye diseases among the population of Russia in 2008 accounted 3422±1,5 cases, over a ten-year period there was a decrease to 3161,1±1,4 cases per 100000 persons. Among the regions of the Central Black Earth region in the Belgorod region, the indicators studied are higher than the average in Russia. The incidence of eye diseases, in particular, cataracts and myopia tends to decrease. However, its level remains significantly high, which requires the improvement of organization of eye care and the development of measures aimed at preventing the development of eye pathology.

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The experience of using biodegradable drainage in combination with traditional sinustrabeculectomy

Year: 2018, volume 14 Issue: №4 Pages: 633-638
Heading: Ophtalmology Article type: Original article
Authors: Krasyuk E.Yu., Noskova O.G., Akulov S.I., Strelnikova N.V., Tokareva E.G.
Organization: Tambov Ophthalmological Clinical Hospital, S. Fedorov Eye Microsurgery Federal State Institution
Summary:

Purpose: analysis and comparison of the degree of intraocular pressure (IOP) compensation, the presence and nature of postoperative complications in traditional sinustrabeculectomy (STE) and STE using biodegradable drainage. Material and Methods. Surgical intervention — sinustrabeculectomy (53 — traditional, 53 — using drainage, DDA drainage type) was performed with stationary diagnosis (106 patients) with a verified diagnosis of "primary open-angle glaucoma" (106 eyes). A comparative analysis was carried out for the stages of glaucoma, the degree of compensation of IOP, the presence and nature of postoperative complications. Results. In the course of sinustrabeculectomy with the use of drainage, a high level of the degree of IOP compensation and a low level of postoperative complications were noted in comparison with traditional sinustrabeculectomy. Gradual resorption of drainage prevents sharp decrease in ophthalmotonus, which allows to significantly reduce the risk of postoperative complications. At the same time, the presence of drainage interferes with the adhesion of the scleral flap and contributes to the gradual formation of a filtration pillow, which, accordingly, leads to a prolonged hypotensive effect. Conclusion. Sinustrabeculectomy with the use of drainage is pathogenetically grounded, which does not complicate the operation, it allows to achieve a persistent and prolonged hypotensive effect and to reduce the risk of postoperative complications.

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