scholarly journals RADIOLOGICAL AND OPTICAL METHODS FOR ASSESSING THE SPINO-PELVIC RELATIONSHIPS IN PATIENTS WITH CONGENITAL HIP DISLOCATION

2019 ◽  
Vol 16 (1) ◽  
pp. 63-69
Author(s):  
L. S. Shnaider ◽  
V. N. Sarnadsky ◽  
V. V. Pavlov
Keyword(s):  
Lumbar Lordosis ◽  
Sagittal Plane ◽  
Corrective Osteotomy ◽  
Hip Dislocation ◽  
Optical Methods ◽  
Sacral Slope ◽  
Congenital Hip Dislocation ◽  
Average Value ◽  
Group I ◽  
Group Ii

Objective. To determine the correlation between the data of sagittal radiography of the spine and computer optical topography (COMOT) results.Material and Methods. The study included 47 patients (5 men, 42 women) who underwent the treatment for hip dysplasia in 2010–2018. The patients were divided into two groups: Group I included 26 patients with unilateral congenital hip dislocation, and Group II – 21 patients with bilateral dislocation. All patients underwent hip replacement with corrective osteotomy.Results. An average value of the sacral slope was 46.4° ± 9.9°, which reflects the excessive sacral slope and exceeds the norm (39.6° ± 7.9°) by 10° in cases of maximum values. Global lumbar lordosis has an average value of 64.1° ± 13.5° and directly depends on the sacral slope. The COMOT parameters showed that physiological curves were less pronounced in patients of Group I (the height of the lumbar lordosis (HIL), 2.4 ± 0,7 sm, the height of the thoracic kyphosis (HIK), 2.7 ± 0.6 sm) than in patients of Group II (HIL, 3.0 ± 0.5 sm, HIK, 3.2 ± 0.5 sm). In Group II, there was an excessive inclination of the sacrum anteriorly (-33.9° ± 4.5°). In both groups, anterior torso inclination was observed, with greater statistical differences in Group I than in Group II: in Group I, the anterior inclination was -3.5° ± 3.6°, in Group II, -0.4° ± 2.7°.Conclusion. The average correlation was found only between the parameters of the sacral slope and the integral index of the posture state in the sagittal plane (r = 0.513); in all other cases, only a moderate correlation was found.

Changes in the spino-pelvic balance after hip replacement in patients with congenital hip dislocation

2018 ◽  
Vol 15 (4) ◽  
pp. 80-86
Author(s):  
L. S. Shnaider ◽  
V. V. Pavlov ◽  
A. V. Krutko ◽  
V. A. Bazlov ◽  
T. Z. Mamuladze ◽  
...  
Keyword(s):  
Hip Replacement ◽  
Lumbar Lordosis ◽  
Slope Angle ◽  
Hip Dislocation ◽  
Medical Documentation ◽  
Sacral Slope ◽  
Congenital Hip Dislocation ◽  
Total Hip ◽  
Rotation Center ◽  
Group I

Objective. To analyze the features of the sagittal spino-pelvic balance formation in patients with congenital hip dislocation and its changes after total hip replacement with restoration of the rotation center. Material and Methods. A retrospective analysis of medical documentation of 47 patients with congenital hip dislocation was performed, a total of 62 total hip replacements were performed. Patients were divided into two groups: Group I with unilateral congenital hip dislocation (n = 26) and Group II – with bilateral hip dislocation (n = 21). The processing and study of statistical correlation were carried out using the Spearman method at p ≤ 0.05. Results. Patients with congenital hip dislocation had average preoperative value of the global lumbar lordosis of 64.1°, and the excess value of the sacral slope angle of 46.4°, which led to hyperlordosis. After surgery, the average value of the global lumbar lordosis was 57.2°, the sacral slope – 41.5°. There was a close relationship between these parameters (r = 0.787). Conclusions. Restoration of the hip rotation center in patients with congenital hip dislocation contributes to a decrease in the sacrum incidence, pelvic anteversion, and lordosis.

scholarly journals RESULTS OF SURGICAL TREATMENT OF INFANTILE AND JUVENILE SCOLIOSIS USING VARIOUS INSTRUMENTATION

2015 ◽  
Vol 14 (1) ◽  
pp. 51-59
Author(s):  
M. V. Mikhailovsky ◽  
V. A. Suzdalov ◽  
D. N. Dolotin ◽  
I. G. Udalova
Keyword(s):  
Surgical Treatment ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Scoliotic Curve ◽  
Average Value ◽  
Group I ◽  
Juvenile Scoliosis ◽  
Congenital Kyphosis ◽  
Group Ii

Introduction. The analysis Results of surgical treatment of growing children with infantile and juvenile scoliosis (IS) can the optimal method of treatment select. In young children with significant growth potential spinal fusion may not be the best option as it limits further longitudinal growth of the spine and may to the thoracic insufficiency syndrome result. To address this problem recently several techniques focused, their have advantages and drawbacks.Material and methods. Since 2008 year 127 patients (64 girls, 63 boys) aged (4.5 ± 2.1) years were operated on. In group I 65 patients were operated on using VEPTR (Vertical Expandable Prosthetic Titanium Rib) instrumentation, in group II 42 patients using various spinal instrumentation. 20 patients with congenital kyphosis were excluded. The average follow-up time was (5.6 ± 1.1) years.Results. In group I average value of the primary scoliotic curve before surgery was (74.7 ± 22.9), secondary curve (42.8 ± 16.0), thoracic kyphosis (46.3 ± 27.4), lumbar lordosis (54.6 ± 14). Average value of the primary scoliotic curve after surgery was reduced to (51 ± 20) (correction 31.7%), at followup to (56.5 ± 18.5), secondary curve (31.8 ± 12.8) (25.7%), at follow-up to (32.4 ± 18.4), thoracic kyphosis (36.8 ± 20.8) (20,5%), at follow-up to (41.8 ± 21.0), lumbar lordosis (45.4 ± 12.7) (16,9%), at follow-up to (48.2 ± 11.7) (p < 0.05). Space available for lung before surgery was (84.5 ± 8.7) %, after surgery was (94.8 ± 6.7)%, at follow-up increased to (98.6 ± 5.4) % (p < 0.05). Complications included 11 implant dislocations and 1 infection. In group II average value of the primary scoliotic curve before surgery was (87.6 ± 6.6), secondary curve (47.8 ± 4.6), thoracic kyphosis (61.4 ± 10.4), lumbar lordosis (61.8 ± 4.9). Average value of the primary scoliotic curve after surgery was reduced to 50.6 ± 5.3 (correction 42.3%), at follow-up to (66.1 ± 6.3), secondary curve (24.1 ± 2.9) (49.6%), at follow-up to (37 ± 5.4), thoracic kyphosis (38.8 ± 7.7) (36.8%), at follow-up to (59.4 ± 11.2), lumbar lordosis (47.5 ± 4.1) (23.2%), at follow-up to (64.5 ± 4.5) (p < 0.05). Complications included 23 implant dislocations and 1 infection. No neurological complications.Conclusion. Stage correction fusions using various instrumentation is a method of choice for controlled correction of growing children with IS.

scholarly journals The Sagittal Integral Morphotype in Male and Female Rowers

2021 ◽  
Vol 18 (24) ◽  
pp. 12930
Author(s):  
Jose Ramón Alvero-Cruz ◽  
Fernando Santonja-Medina ◽  
Jose Manuel Sanz-Mengibar ◽  
Pilar Sainz de Baranda
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Sagittal Plane ◽  
Trunk Flexion ◽  
Normal Range ◽  
Average Value ◽  
Rowing Performance ◽  
Thoracic Hyperkyphosis ◽  
Training Background ◽  
And Training

The goal of this study was to describe the integrated spinal assessment of the sagittal morphotype in rowers to determine whether the intense practice of rowing causes a modification of the sagittal curvatures of the spine, its relationship with the rowing technique, and training background. The second goal was to analyse how the dorsal and lumbar curves behave in the three phases of the rowing gesture, and to determine which phases can be detrimental to the correct development of the spine during growth. We analysed the spine curvatures in the sagittal plane of 29 females and 82 males, which were measured with an inclinometer in standing, slump sitting, maximal trunk flexion and during rowing performance. The average value of thoracic kyphosis in the rowers was 30° (mean, 30 + 8.27°). Thoracic hyperkyphosis was found in only two rowers (1.8%). Lumbar lordosis was within normal range in 84.1% of the males (mean, 27 + 9.57°) and 75.9% of female rowers (mean, 33°). Functional thoracic hyperkyphosis was observed in 57.4% of the males and 17.1% of the females. Functional lumbar hyperkyphosis was observed in 28 of the 69 males (40.5%) and five of 22 females (17.2%). Rowing seems to provide adequate spine alignment in the sagittal plane on standing. The integrated spinal assessment of the sagittal morphotype showed that half or our rowers presented with functional thoracic hyperkyphosis, and 43.2% presented with functional lumbar hyperkyphosis. Spine behaviour during the rowing technique shows that the thoracic kyphosis (98.2%) and lumbar spine (91%) perform within normative ranges and could explain the adequate positioning of the spine in the sagittal plane on standing. Years of rowing training tend to reduce thoracic kyphosis in males.

scholarly journals Technique for Optimizing Morganian Cataract Phacoemulsification

2018 ◽  
Vol 15 (2S) ◽  
pp. 160-165
Author(s):  
O. L. Fabrikantov ◽  
E. S. Pirogova ◽  
S. I. Nikolashin
Keyword(s):  
Surgical Intervention ◽  
Sagittal Plane ◽  
Intraoperative Complications ◽  
Standard Technique ◽  
Posterior Capsule ◽  
Anterior Capsule ◽  
Group I ◽  
Group Ii ◽  
Improved Technology ◽  
Capsular Bag

Purpose: to optimize the technique of hypermature Morganian cataract phacoemulsification.Patients and methods. 18 patients (18 eyes) with hypermature Morganian cataract were examined. Group I included 8 patients who underwent surgical intervention according to the improved technology using the iridocapsular retractors. Group II included the retrospective results of phacoemulsification with IOL implantation performed according to a standard technique in 10 patients. The optimizing surgical technique in patients of group I consisted in the consecutive usage of four iridocapsular retractors: when creating a capsulorhexis — to stabilize the capsular bag during the circular rupture of the anterior capsule; during the nucleus phacoemulsification — to stabilize the complex: capsular bag, nucleus, capsular ring — in the sagittal plane and additional (together with the capsular ring) support of the capsular bag fornices.Results. No complications were noted in patients of group I. In patients of group II there were two ruptures of the posterior capsule (20%), two cases of re-implantation of a capsular ring because of the stop of its edge into the fold of the capsular bag fornix, one rupture of the anterior capsulorhexis border without its transition to the posterior capsule. In group I there were no any complications in the postoperative period. In group II we noted two corneal oedemata, Descemet membrane folds, which were jugulated by the conservative treatment on the 4–5th days postoperatively.Conclusion. The optimizing technique of hypermature Morganian cataract phacoemulsification with the use of four iridocapsular retractors and capsular ring allowed reducing the number of intraoperative complications in comparison with the standard technique and making the surgical intervention more effective and safe. 

scholarly journals Cardiac troponin as biochemical marker of perinatal asphyxia and hypoxic myocardial injury

2009 ◽  
Vol 66 (11) ◽  
pp. 881-886
Author(s):  
Aleksandra Simovic ◽  
Jasmina Knezevic ◽  
Zoran Igrutinovic ◽  
Nadezda Stojanovic ◽  
Sanja Kocic
Keyword(s):  
Cardiac Troponin ◽  
Pressure Support ◽  
Troponin I ◽  
Perinatal Asphyxia ◽  
Myocardial Cell ◽  
Group Iii ◽  
Average Value ◽  
Group I ◽  
Group Ii ◽  
Future Outcomes

Background/Aim. Myocardial cell lesion in newborns may be clinically occult. In recent years there has been shown growing interest in the use of cardiac troponin-I (cTnI) in relation to perinatal asphyxia and hypoxic myocardial lesion. The aim of this study was to determine a relationship between high cTnI levels and outcome in critically ill newborns with perinatal asphyxia. Methods. In this study 78 patients were divided into three groups. The group I included 39 newborns (15 term and 24 preterm) with perinatal asphyxia, with no deaths, only full or partial (with some neurological sequels) recovery. The group II included 10 newborns (6 preterm and 4 term), with perinatal asphyxia who died, with critical cardio-respiratory problems and multiorgan dysfunction. The group III included 29 healthy term newborns. A level of cTnI in all three groups was measured within 24-48 hours after delivery. Results. A statistically significant higher value of cTnI (0.082 ?g/l ? 0.166) was found in group I than in the group III (healthy newborns). In the group I, 21/39 newborns required respiratory and 16/39 required pressure support. In the group II, the largest average value of cTnI of 0.425 ? 0.307 was found. All of the newborns in the group II required respiratory and pressure support. In the group III the lowest average value of cTnI (0.0186 ?g/L ? 0.0286) was found. Conclusions. High cTnI levels could be used as markers of perinatal asphyxia and even as predictors of future outcomes and/or mortality.

scholarly journals P779 Use of right ventricular strain analysis to detect right ventricle subtle dysfunction in patients with left ventricular ischemic cardiomyopathy

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R Darweesh ◽  
REHAM Darweesh ◽  
WAFAA El Aroussy ◽  
ABDALL El Aghaa ◽  
AZZA Farrag ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ischemic Cardiomyopathy ◽  
Systolic Function ◽  
Strain Analysis ◽  
Free Wall ◽  
Systolic Strain ◽  
Average Value ◽  
Group I ◽  
Group Ii ◽  
Rv Function

Abstract Back ground Right ventricular (RV) systolic dysfunction is an independent prognostic marker of several cardiovascular diseases. Cardiac magnetic resonance imaging (CMR) is a gold standard for evaluation of RV ejection fraction and RV structure. However, the CMR is not available in all institution. So some researchers use strain echocardiography to evaluate RV systolic function Purpose Evaluation of different RV functions and prevalence of RV dysfunction in patients with ischemic cardiomyopathy (ICM) (EF &lt; 50%), using echocardiographic conventional methods and RV strain analysis Methods All our patients had ischemic cardiomyopathy (ICM) (EF&lt; 50), patients with previous inferior myocardial infarction were excluded. A standard comprehensive transthoracic echocardiographic assessment of the RV dimensions, conventional systolic parameters: TAPSE, fractional area change FAC, S" velocity, myocardial performance index (RV MPI- RV Tie index ) and diastolic parameters (E/A, E/E", DT). 2 Dimensional speckle tacking echocardiography (2D-STE) for right ventricular global strain analysis (RVGLS): RVGLS total and RVGLS free wall (RVGLS total is a measurement obtained from the average value of all six segments values and RVGLS free wall is the average value from three RV free wall segments) , RV and LV peak systolic strain rate (RV SRs, LV SRs) and early diastolic strain rate (RV SRe, LV SRe) were measured. Results : we enrolled 50 patients (out of 1026 patients over one year ) 37 males (74%) , mean age 60.8 ± 7.4 years, according to RV strain analysis patients were divided into two groups, group I : patients who had normal RV function (RV free wall peak systolic strain PSS ≤-20%), and group II : had impaired RV function (RV free wall PSS &gt;-20%) . there was no statistically significant difference between the two groups as regards LV dimensions, LV EF, LV GLS , LV SRs, RV dimensions nor other RV conventional parameters as TAPSE, FAC, S", or RV MPI. However mean RV GLS in group (I) was -17.52 ± 8.60 % vs -11.66 ± 3.25 % in group (II), (p = 0.003). Mean RV SRs in group (I) was -1.02 ± 0.27 /s vs -0.74 ± 0.38 /s in group (II), (p = 0.001) There was a statistically significant correlation between RV MPI and RV GLS (r = 0.315, p = 0.026), RVSRs and RV GLS (r = 0.656, p &lt; 0.001) and between RV SRs and RVGLS free wall (r = 0.631, p &lt; 0.001). There was a statistically significant correlation between RV SRs and RVGLS free wall in group (I) (r = 0.693, p &lt; 0.001) and in group (II) (r = 0.819, p &lt; 0.001). There was no agreement between TAPSE and RV GLS free wall (Kappa 0.063, p 0.2). MPI was the only conventional parameter that correlated with RV GLS free wall (p0.026). Conclusion RVGLS is a global, more sensitive parameter of RV systolic function compared to commonly used conventional parameters,it correlates better with RV systolic function and may have a more prognostic power for detection of subtle RV dysfunction.

scholarly journals The Effects of Force That Pushes Forward Lumbar Region on Sagittal Spinal Alignment When Wearing Backpack

2019 ◽  
Vol 16 (19) ◽  
pp. 3643
Author(s):  
Tae-sung In ◽  
Seung-man Yu ◽  
Sang-hun Jang
Keyword(s):  
Lumbar Lordosis ◽  
Sagittal Plane ◽  
The State ◽  
Sacral Slope ◽  
Lumbar Region ◽  
Spinal Alignment ◽  
Inferior Angle ◽  
Sagittal Spinal Alignment ◽  
Lumbar Alignment ◽  
Adult Volunteers

The purpose of this study is to design a backpack to push the lumbar region forward and confirm the change in the sagittal plane of the spine using radiography when wearing the backpack to present an effective backpack wearing method that can help spinal alignment. Place the question addressed in a broad context and highlight the purpose of the study. A total of 14 adult volunteers participated in the study. The study was carried out on the subjects without carrying a backpack, with a general backpack, and with a backpack designed to push the lumbar region forward. We investigated cervical, thoracic, lumbar, and sacral alignment under these three conditions. Lumbar lordosis showed a significant decrease in the state of wearing a general backpack compared to the case without a backpack, and a significant increase in the state of wearing a backpack designed to push the lumbar region forward rather than a general backpack. In addition, the sacral slope was significantly increased when carrying the backpack designed to push the lumbar region forward, compared to carrying the general backpack. There was a significant correlation between the sacral and lumbar alignment change when wearing the backpack compared to the state without a backpack. The results of this study indicate that wearing a backpack designed to push the lumbar region forward may contribute to the recovery of lumbar lordosis that is reduced when wearing a general backpack. This may be due to an increase in the sacral slope corresponding to the inferior angle of lumbar spine.

scholarly journals Modified Transtibial versus Anteromedial Portal Technique in Single Bundle ACL Reconstruction

2017 ◽  
Vol 5 (1_suppl) ◽  
pp. 2325967117S0002
Author(s):  
Emiliano Alvarez Salinas ◽  
Horacio Rivarola Etcheto ◽  
Cristian Collazo Blanchod ◽  
Gonzalo Escobar ◽  
Jesuan Zordan ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Sagittal Plane ◽  
Femoral Tunnel ◽  
Average Distance ◽  
Average Diameter ◽  
Single Bundle ◽  
Transtibial Technique ◽  
Group I ◽  
Group Ii ◽  
Transportal Technique

Objectives: The aim of this study is to determine whether it is possible to achieves a similar anatomical placement of the femoral tunnel with a modified transtibial ACL single bundle reconstruction tecnique compared to anteromedial transportal technique. Results were evaluated by tomographic comparisons between patients from both groups. Methods: 36 patients (36 knees) who were candidates for an ACL single bundle reconstruction with patellar bone graft were included in the study. Patients were randomly allocated using a computerized sequence into two groups. 18 patients were assigned each group (modified transtibial vs AM transportal technique). Surgery was performed by the same surgical team in both groups. Femoral tunnel quadrant placement, oblicuity in the coronal and sagittal planes and diameter of the femoral tunnel were assesed tomographically blinded by two observers and statistical comparison between groups was realized. Results: Average distance measured from posterior edge of the condyle to the femoral tunnel ( measured as a proportion respect to the T line) was similar in both groups ( Group I : 32.7 % +- 5.1% ; Group 2: 32.4 % +-4.4% , p = 0.85). Average distance measured from the Blumensaat line to the femoral tunnel (measured as a proportion respect to the H line) was similar in both groups ( Group I: 28.5% 4.49 % Group II , 31.5% of 4.83% p = 0.06). Average angulation values of the femoral tunnel in the coronal plane were lower in Group I than in Group II (Group I = 34.8 ° range 32.7 ° - 38.6 ° and 41.2 ° range Group II 36.7 ° - 43.1 ° P = 0.0016 ). Average angulation values of the femoral tunnel in the sagittal plane were similar in both groups (Group I 40.2 ° range 38.4 ° - 43.4 ° ; Group II 38 1 ° range 36.6 ° - 40.2 ° p = 0.17).. The average diameter of the femoral tunnel was significantly higher in group I than in Group II (Group I 11 mm 0.84 mm and 10.2 mm Group II 0.65mm p = 0.007) . Conclusion: The modified transtibial technique for single bundle ACL reconstruction has proved to be suitable to reproduce the anatomic placement of the femoral tunnel compared to the transportal AM technique.

scholarly journals Induction and estrous synchronization during the non-breeding season in Saanen goats

2016 ◽  
Vol 73 (2) ◽  
pp. 429
Author(s):  
Anamaria Luciana Blaga Petrean ◽  
Liviu Bogdan ◽  
Sanda Andrei ◽  
Ileana Bogdan ◽  
Mihai Raţiu ◽  
...  
Keyword(s):  
Benzyl Alcohol ◽  
Breeding Season ◽  
Economic Benefits ◽  
Control Group ◽  
Isopropyl Ester ◽  
Group Iii ◽  
Estrous Synchronization ◽  
Average Value ◽  
Group I ◽  
Group Ii

The purpose of this study was to perform the induction and estrous synchronization of Saanen goats in the non-breeding season. The study was conducted from July 2014 - April 2015 on 77 Saanen goats, aged between 1.5 to 5 years. The goats were divided into three experimental groups: in group I (n =37 goats) intravaginal sponge (Ovigest) containing 60 mg of MPA was left in the vagina for 14 days. Immediately after sponge removal the animals received two injections: prostaglandin (Prosolvin) at the dose of 0.75 mg (1 ml)/animal and PMSG hormone (Folligon) at the dose of 500 IU/animal. In group II (n=20) induction and estrous synchronization was performed using synthetic prostaglandin (Proliz - 1 ml containing 0.2 mg isopropyl ester of cloprostenol and 9 mg benzyl alcohol) at the dose of 0.5 ml/animal. The group III (n=20) was considered the control group and estrous synchronization was performed using fertile bucks. In group I the results showed that all goats expressed signs of estrous. The average value of the estrous interval was 33 hours and the average of estrous duration was 20 hours. The number of kids obtained in group I was 94, and prolificacy was P (%) = 2.54. In group II and III was not observed occurrence of estrous. Induction and estrous synchronization show economic benefits by shortening the time needed for pregnancy installation, possibility of births grouping, preparation and organization of mating, only if we use a hormone associated protocol and we rigorous respect therapy steps.

scholarly journals Effects of carbonic anhydrase inhibitors on pseudophakic corneal edema

2012 ◽  
Vol 59 (3) ◽  
pp. 27-32
Author(s):  
Zihret Abazi ◽  
Lidija Magarasevic ◽  
Aleksandar Markovic ◽  
Dusica Risovic
Keyword(s):  
Visual Acuity ◽  
Carbonic Anhydrase ◽  
Corneal Thickness ◽  
Corneal Edema ◽  
Mean Value ◽  
Average Value ◽  
Postoperative Visual Acuity ◽  
Group I ◽  
The Mean ◽  
Group Ii

INTRODUCTION: Acetazolamide as inhibitor of carbonic anhydrase, in glaucoma therapy, has an effect on lowering intraocular pressure. In addition to this primary effects, we attempted to determine the effect on the cornea after phacoemulsification. In our study, we determined the effects of systemically applied dose of 500 mg of acetazolamide on the edema, thickness, and corneal morphology after phacoemulsification, with the Anterior Segment Optical Coherence Tomography (AS OCT). MATERIAL AND METHODS: The study included 53 patients who were divided into two groups. Groups were stratified by type of cataract (nuclear), age (62+1.5), preoperative visual acuity (5/60) Snellen table, and preoperative findings on AS-OCT. Phacoemulsification has done the same surgeon, with the same ultrasound probe length using ultrasonic force of the average value of 14 for a period of 72+2.5 seconds. Group of 33 patients were administered systemic acetazolamide at a dose of 250 mg per scheme 01 hours +24 hours after phacoemulsification (group I). Another group of 20 patients did not receive acetazolamide( group II). AS OCT recordings were performed before surgery, 6 hours and 24 hours after surgery. RESULTS: The mean value in both groups was 549+ 9 ?m before surgery. Group I had average value of 648+6 ?m after 6h, and the mean value was 612+4 ?m after 24h. The group II, had a mean thickness of the cornea after 6 hours of 720+5 ?m, and after 24 hours 708+4?m. Morphological changes in the tomograms of the group I showed minimal creases Descemet?s membrane. Postoperative visual acuity was 0,6,24h after the surgery in the I group of patients, and 0,3 in the II group. CONCLUSION: In our study the patients who administered systemic acetazolamide had significant reduction of central corneal thickness. The folds of Descemet?s membrane and endothelial dysfunction in AS OCT tomograms showed less structural changes in group I. Significant better postoperative visual acuity in these patients is probably because of the smaller corneal edema after 24 h, which improves patients? comfort.

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