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Knocking over of edema of the cornea caused by phacoemulsification of a dense kernel in a crystalline lens

Poster Details

First Author: O.Mykhailov UKRAINE

Co Author(s):    N. Mikhailov   R. Chalanova           

Abstract Details



Purpose:

Fakoemulsifikation of a dense kernel (the 4-5 degree on L. Buratto, 1999) can cause of prolongation of ultrasonic influence and use of big total energy of ultrasound. Longer manipulations with a kernel on the average in 10% of cases are at the bottom of considerable loss of endotelial cels that causes corneal edema in the postoperative period. The purpose of researches was development of a way of knocking over of edema of the cornea caused by a fakoemulsifikation of a dense kernel of a crystalline lens by application of applications of 2% of serumal albumine

Setting:

ḋ State Institution ḋThe Filatov Institute of eye diseases and tissue therapy of the National Academy of medical sciences of UkraineṠ City hospital No. 1 office of microsurgery of an eye Mariupol, Ukraine

Methods:

Researches are conducted in two groups of patients (on 15 patients, 15 eyes) aged from 70 till 75 years to which the cataract fakoemulsifikation with a dense kernel of the 4-5 degree was carried out. Visual acuity before operation in both groups of patients made 0,05 ±0.02. Operations are executed on fakoemulsifikator by Stellaris (Baush +Lomb) with parameters: power is 50-80%, the irrigation - 110-140 mm, vacuum - 500-650, an impulse 40-70 in min., the speed of a stream 30, duration of ultrasound is from 40 to 80 sec. In one days from the moment of operation in the presence of edema of a cornea carried out treatment with application of applications of 2% of serumal albumine, and in group of comparison treatment carried out with application of applications of Sol. Glukosae of 40%, injections of dexamethasone, jelly solkoseril. Applications of medicines carried out by means of an eye tray with an exposition of 10 minutes.

Results:

At all observed patients the next days after operation corneal edema that was at the bottom of low initial visual acuity (0,1ḟ0,02) developed. Application of applications of 2% of serumal albumine accelerated knocking over of edema of a cornea. If at application of traditional treatment edema of a cornea was stopped for 7,4 ḟ1,3 days, at application of applications of serumal human albumine transparency of a cornea was restored for 4,6ḟ1,2 days. After elimination of edema and restoration of transparency of a cornea visual acuity in both groups of patients increased to 0,7 - 0,8.

Conclusions:

The carried-out dehydrational therapy with use of trays from 2% human serumal albumine promoted the fastest knocking over of edema of a cornea.

Financial Disclosure:

NONE

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