Khodzhaev N S, Sobolev N P, Mushkova I A, Izmaylova S B, Karimova A N
S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskudnikovskiy blvd, Moscow, Russian Federation, 127486.
Vestn Oftalmol. 2017;133(6):23-29. doi: 10.17116/oftalma2017133623-29.
The diversity of methodological approaches and lack of pathogenetically reasonable tactics for patients with combined ocular injuries became the basis for the development and systematization of surgical rehabilitation stages of patients, in whom post-traumatic cataract is combined with post-traumatic aniridia and corneal scarring.
to construct a visual rehabilitation approach to patients with post-traumatic defects of the anterior eye segment following optical-reconstructive surgery that involved implantation of an iris-lens diaphragm (ILD).
We have analyzed 80 reconstructive cases with ILD implantation in patients with post-traumatic aniridia and corneal damage. These patients constituted the first study group (Group 1). We have also investigated 58 eyes with residual ametropy and stable visual function 1 year after ILD implantation before and after conducting a laser keratorefractive surgery. These patients were assigned to the second study group (Group 2).
Rehabilitation approach to patients after anterior segment injuries that has been proposed allows to achieve high clinical and functional results and reduce the risk of intra- and postoperative complications.
The proposed approach to patients after optical-reconstructive surgery with iris-lens diaphragm implantation followed by keratorefractive surgery is an effective method of visual rehabilitation of anterior eye segment post-traumatic defects.
对于合并眼部损伤的患者，方法的多样性以及缺乏基于发病机制的合理策略，成为了对创伤后白内障合并创伤后无虹膜和角膜瘢痕患者手术康复阶段进行开发和系统化的基础。
构建一种针对前房光学重建手术后伴有前房段创伤性缺陷患者的视觉康复方法，该手术包括植入虹膜晶状体隔膜（ILD）。
我们分析了80例创伤后无虹膜和角膜损伤患者植入ILD的重建病例。这些患者构成了第一研究组（第1组）。我们还研究了58只眼睛，这些眼睛在植入ILD 1年后进行激光角膜屈光手术前后存在残余屈光不正且视觉功能稳定。这些患者被分配到第二研究组（第2组）。
所提出的前房段损伤患者康复方法能够取得较高的临床和功能效果，并降低术中及术后并发症的风险。
所提出的对植入虹膜晶状体隔膜后再进行角膜屈光手术的光学重建术后患者的方法，是前房段创伤性缺陷视觉康复的有效方法。
