Structure of ophthalmic pathology according to S. Fyodorov Eye Microsurgery Federal State Institution and development of innovative technologies

2021 ◽  
pp. 17-26
Author(s):  
A.M. Chukhrayov ◽  
◽  
N.S. Khodzhaev ◽  
M.B. Sarkizova ◽  
◽  
...  
Keyword(s):  
Vitreous Body ◽  
Vitreoretinal Surgery ◽  
State Institution ◽  
Federal State ◽  
Medical Database ◽  
Ophthalmic Surgery ◽  
Corneal Surgery ◽  
Innovative Technologies ◽  
Number Of Patients ◽  
Ophthalmic Pathology

The article discusses the structure of ophthalmic pathology. These results are based on the analysis of statistical data of a large number of patients of the S. Fyodorov Eye Microsurgery Federal State Institution in 2019 (year before COVID-19 pandemic). In 2019 – 565988 patients were registered in medical database of our institution for the first time. The distribution of ophthalmic pathology among these patients was as follows. Cataract – 25.0%, including complicated cataract 15.9 %. Glaucoma – 3.1%; Vitreoretinal pathology – 8.2%; Diabetes – 2.9%; Oculoplastic pathology – 2.7%; Oncology – 1.1%; Eye diseases in children – 12.9%; Refractive errors – 17.2%; Diseases of the eye fundus – 12.6 %; Corneal pathology – 2.2%; Inflammatory diseases – 10.3%; Other diseases – 1.8 %. The article carefully describes the innovative technologies and the main trends that determine the overall development of such areas of ophthalmic surgery as: cataract surgery, glaucoma, corneal surgery, vitreoretinal surgery, laser refractive surgery, laser surgery of the retina and vitreous body, surgical manipulations in children, oculoplasty, ophthalmooncology. Key words: structure of ophthalmic pathology, innovative technologies of ophthalmic surgery, main trends of ophthalmic surgery.

Frequency patients with hyperopia in refractive surgery department in ophthalmic surgery clinic

2021 ◽  
pp. 44-46
Author(s):  
S.A. Shishkin ◽  
◽  
N.V. Samokhvalov ◽  
I.V. Dutchin ◽  
E.L. Sorokin ◽  
...  
Keyword(s):  
Refractive Surgery ◽  
Age Groups ◽  
Anterior Segment ◽  
State Institution ◽  
Morphometric Parameters ◽  
Federal State ◽  
Moderate Degree ◽  
Ophthalmic Surgery ◽  
Number Of Patients ◽  
Surgery Department

Purpose. Determination of proportion patients with hyperopia in refractive surgery department of ophthalmic surgery clinic, analysis of degree of their hyperopia, morphometric parameters of anterior segment of the eye. Material and methods. The proportion of patients with hyperopia who were operated in the refractive surgery department of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution in 2019 were assess. On limited sample of these patients, a quantitative assessment of degree of hyperopia was carried out, and morphometric parameters of the anterior segment of the eyes were studied. Results. In 2019, 141 patients with hyperopia were operated (282 operations), which amounted to 11.3% of the total number of patients in the department. The majority of patients had a moderate degree of hyperopia (55.3%). In 47.5% of eyes, hyperopia was combined with astigmatism up to 4 diopters. Conclusion. Femto LASIK technology made it possible to achieve maximum uncorrected visual acuity in 52% of patients with hyperopia in the study group. Modern capabilities of refractive surgery are capable of providing high functional results in patients with varying degrees of hyperopia. Key words:refractive errors, hyperopia, refractive surgery, Femto LASIK, age groups.

Postoperative endophthalmitis

2021 ◽  
pp. 185-187
Author(s):  
I.A. Frolychev ◽  
◽  
N.A. Pozdeyeva ◽  
◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Silicone Oil ◽  
Angiogenesis Inhibitor ◽  
Cataract Extraction ◽  
State Institution ◽  
Federal State ◽  
Postoperative Endophthalmitis ◽  
Ophthalmic Surgery ◽  
Corrected Visual Acuity

Surgical treatment of postoperative endophthalmitis is an urgent problem of ophthalmic surgery. Purpose.The aim of the study was to analyze the results of treatment of patients with postoperative endophthalmitis using perfluorodecalin and antibiotic solutions for vitreal cavity tamponade. Materials and methods. For the period 2016-2020, 35 patients (35 eyes) were operated in the Cheboksary branch of the S. Fyodorov Eye Microsurgery Federal State Institution. In 26 patients, this complication occurred after cataract extraction, in 7 after vitreoretinal operations, in 2 after intravitreal administration of an angiogenesis inhibitor. Visual acuity before treatment of endophthalmitis in 3 patients was to 0.02– 0.08, in 16 – counting of fingers in the face, in 13 – pr.l.certa, in 3-pr. l. incerta. All patients underwent vitrectomy with perfluorodecalin tamponade of the vitreal cavity for up to 14 days and intravitreal administration of vancomycin 1 mg and ceftazidime 2.25 mg at the end of the operation. On day 2-3, all patients underwent additional intravitreal administration of antibiotics, depending on the detected pathogen. Further, in 22 patients, the removal of perfluorodecalin and the remaining preretinal and peripherally located exudate was performed, in 13 patients - tamponade of the vitreal cavity with silicone oil. Results. As a result of the treatment according to the developed method, it was possible to preserve visual functions in 32 patients (91%) out of 35. At discharge, the corrected visual acuity was from 0.1 to 0.7 (0.28±0.2). After 6 months, the corrected visual acuity in 32 patients was from 0.1 to 0.9 (0.36±0.2). Visual acuity (above 0.3) was achieved in 26 cases (74.3%). Conclusion. Clinical results demonstrate the effectiveness of the developed method of surgical treatment of endophthalmitis. Key words: postoperative endophthalmitis, perfluorodecalin, intravitreal administration of vancomycin and ceftazidime.

Structure of concomitant somatic pathology in patients different age groups before ophthalmic surgery

2021 ◽  
pp. 182-185
Author(s):  
M.A. Esina ◽  
◽  
E.E. Filimonova ◽  
L.V. Pavlyushchenko ◽  
◽  
...  
Keyword(s):  
Age Groups ◽  
State Institution ◽  
Federal State ◽  
Ophthalmic Surgery ◽  
Cerebrovascular Accidents ◽  
Heart Attacks ◽  
Preoperative Stage ◽  
Stage 1

Purpose. Analysis of structure somatic pathology in patients different age groups before planned ophthalmic surgery. Material and methods. Analyzed 1200 medical records patients previously operated in the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 3 age groups were formed. The 1st group included 11 patients under age of 40 years (0.9%), the 2nd group – 234 patients from 41 to 60 years (19.5%), the 3rd group – 955 patients over 60 years (79.6%). In each of the groups, the frequency and structure of concomitant somatic pathology, the degree of its compensation were studied. Results. In the 1st group, 54.5% of patients were somatically healthy, 45.5% had a pathology, represented mainly by stage 1 hypertension and type 1 diabetes. All of them were compensated, there were no difficulties in preparing for the operation in this group. In the 2nd group, 90.2% of patients had somatic pathology. The leading positions were occupied by hypertension and type 2 diabetes, the respiratory system pathologies, rheumatic diseases and the carriage of chronic hepatitis B and C viruses were added. Treatment correction at the preoperative stage was required for 2 patients (0.9%), after which the patients were operated. In 3rd group, 100% of patients had somatic pathology. Its structure did not differ much from the 2nd group, but there were also complications such as heart attacks, acute cerebrovascular accidents, complicated diabetes. Correction of therapy was carried out in 61 people (6.4%), 60 of them were successfully operated, one did not appear for hospitalization. Conclusion. Somatic burden increased and degree of compensation for diseases decreased with increasing age of patients. Successful operations are facilitated by individual approach to patient, taking into account the existing pathology and preoperative preparation. Key words: patient's age, somatic burden, hypertension, diabetes mellitus, compensation.

Analysis of the structure of ophthalmological pathology of outpatients in the treatment and diagnostic department

2021 ◽  
pp. 30-33
Author(s):  
A.V. Romanova ◽  
◽  
R.A. Burya ◽  
A.D. Pilipenko ◽  
E.L. Sorokin ◽  
...  
Keyword(s):  
Vascular Diseases ◽  
State Institution ◽  
Clinical Analysis ◽  
Diagnostic Methods ◽  
Federal State ◽  
Similar Data ◽  
High Turnover ◽  
Continuous Sampling ◽  
Number Of Patients ◽  
And Gender

Purpose. Clinical analysis of the nosological structure of ophthalmologic pathology in patients who applied to the treatment and diagnostic department (TDD) in 2020. Material and methods. The article provides an analysis of the number of patients who applied to the TDD of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution for the period from the beginning of January to the end of December 2020 (continuous sampling method). An assessment of their age and gender composition is given, an analysis of the nosological structure of ophthalmopathology in the patients who have applied, its stage, is carried out, a comparison is made with similar data from five years ago. Results. In the structure of ophthalmic pathology, there was a high turnover rate of patients with the presence of various types of ametropia, as well as for the purpose of its surgical correction. A large number of patients with socially significant types of pathologies: cataracts, glaucoma, acquired diseases of the macular region, vascular diseases of the retina, requiring highly specialized surgical and conservative treatment. The analysis of the results of the work of the TDD showed a high percentage of detection of eye diseases, as well as for the first time detected serious pathology, achieved with the help of complex modern diagnostic methods. Conclusion. In 2020 8 851 patients with various ophthalmic pathologies were examined. In comparison with the five-year data, the volume of applications to LDOs increased significantly by 42%. Key words: ophthalmopathology, refractive error, cataract, glaucoma, medical and diagnostic department.

Toxic Damage to the Visual System in Case of Unintentiona

2020 ◽  
pp. 54-60
Author(s):  
E.E. Ioyleva ◽  
◽  
E.S. Kurakina ◽  
E.P. Andrusyakova ◽  
M.A. Saif ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Optic Disc ◽  
Ganglion Cells ◽  
Vitreous Body ◽  
State Institution ◽  
Federal State ◽  
Ophthalmological Examination ◽  
Internal Layers ◽  
Toxic Damage

The patient complained of a severe, yet painless, reduction in vision of both eyes after an accidental intramuscular injection of Klozantrem with a dose of 4.0 ml in S. Fedorov Eye Microsurgery Federal State Institution. The standard ophthalmological examination was performed (OU visual acuity was counting fingers at a distance of 10 cm, OD intraocular pressure was 10mm Hg, OS intraocular pressure was 9 mm Hg, eye movement unremarkable). Biomicroscopy showed both eyes were calm, pale pink conjunctivae, transparent cornea, medium depth anterior chamber, transparent lens. OU ophthalmoscopy showed the optic disc was discolourated, its boundaries were indistinct, arteries and veins were narrowed, macular area of the retina without a visible physical pathology. Perimetry showed the correct light projection. A reduction in the thickness of the external and internal layers of the retina was observed as a result of the OCT of the macular zone OU. OCT showed the thickness of the layer of nerve fibres in the upper and lower nasal segments. OS has the prominence of the optic disc in the vitreous body. The threshold of the electrical sensitivity OU was 300 mkA by electrophysiological research; the electrical latency was not defined. During the MRI scan, the fascinated changes of the cerebral cortex have not been found. Acute optic neuropathy of toxic genesis was diagnosed in both eyes. A course of complex conservative treatment was prescribed: anti-inflammatory, nootropic, metabolic, vitamin therapy, as well as magnetotherapy, electrical stimulation and electrophoresis. As a result of the reported case by patient due to unintentional application of Closantel, we found that toxic damage of the ganglion cells of the retina was initially occurring, resulting in a reduction of the central visual acuity, followed by the development of the optic nerve atrophy. Care must be exercised when dealing with medicines. Potentially, any medicines are toxic and, if used improperly, may cause a number of side effects from the visual and central nervous system.

Retrospective analysis of the results of episcleral filling in the surgical treatment of primary rhegmatogenous retinal detachment

2021 ◽  
pp. 171-174
Author(s):  
A.V. Tereshchenko ◽  
◽  
N.N. Yudina ◽  
Y.A. Sidorova ◽  
O.S. Kulikov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Retinal Detachment ◽  
Key Words ◽  
Retrospective Analysis ◽  
Rhegmatogenous Retinal Detachment ◽  
Vitreoretinal Surgery ◽  
State Institution ◽  
Federal State

Purpose – to conduct a retrospective analysis of the results of episcleral filling in the surgical treatment of primary rhegmatogenous retinal detachment. Material and methods. Patients diagnosed with rhegmatogenous retinal detachment whom were undergone episcleral filling from 2015 to 2020 at the S. Fyodorov Eye Microsurgery Federal State Institution, the Kaluga Branch, were performed to a detailed retrospective analysis. Additionally, cases were analyzed when, after episcleral filling, the retina did not attach and later vitreoretinal surgery was performed. Results. Episcleral surgery was performed to the 486 eyes, repeated interventions were required to 126 eyes (26%). The presence of peripheral chorioretinal dystrophy of the retina (PCHDR) in paired eyes was found in only 45% of patients. In these patients’ retinal attachment was achieved with only one episcleral filling. In cases of lack of retinal attachment after episcleral surgery, the proportion of the presence of PCHDR in the paired eye was 84%. The superior and temporal segments were the most frequent places of localization of retinal rupture. At the same time, there were retinal ruptures in the upper segment in 30% of patients. The proportion of rupture in the external segment was 32%. The retinal rupture was localized in the upper external segment at 18% of cases. At 20% of cases, retinal ruptures were localized in the lower external and lower segments. Conclusion. The success of episcleral surgery depends on the thoroughness of the diagnosis, the detection of all existing retinal ruptures and their blocking during the surgical treatment. Key words: rhegmatogenous retinal detachment, episcleral filling, intravitreal surgery.

The structure of the clinical variety of macular pathology in patients of diagnostic department

2021 ◽  
pp. 93-96
Author(s):  
R.S. Zhazybaev ◽  
◽  
A.L. Zhirov ◽  
E.L. Sorokin ◽  
◽  
...  
Keyword(s):  
Macular Degeneration ◽  
Selection Criterion ◽  
State Institution ◽  
Age Related Macular Degeneration ◽  
Federal State ◽  
Age Group ◽  
Ophthalmic Surgery ◽  
Continuous Sampling ◽  
Optical Media ◽  
Age Related

Purpose. To study the frequency and nosological structure of concomitant macular pathology in patients admitted for ophthalmic surgery. Material and methods. A study of the state of the macula was carried out in 337 eyes of 170 patients who underwent a diagnostic examination in the Khabarovsk Branch the S. Fyodorov Eye Microsurgery Federal State Institution in 2020. The patients' age was 58±15.2 years. The selection criterion was sufficient transparency of the optical media for viewing the macular zone. An in-depth examination of the macular zone was carried out using a forehead binocular reflex-free ophthalmoscope (Heine OMEGA500, Germany) and a non-contact lens (VOLK Double Aspheric 20D, USA), as well as optical coherence tomography (Cirrus HD-OCT 5000, «Carl Zeiss», Germany). The proportion of macular pathology among the patients who applied, the frequency and severity of its individual nosological forms were evaluated. Results. Various macular pathologies occurred in 28.2% of cases. Age-related macular degeneration (AMD) (47.9%) and epiretinal fibrosis (27.1%) accounted for a significant share in the structure of macular pathology. The frequency and structure of macular pathology in patients with age-related cataracts was analyzed. The incidence of macular pathology in them was 45.1%, of which AMD was detected in 65.2% of cases, epiretinal fibrosis – 7.8%. Conclusion. Among the group of patients selected by the method of continuous sampling with various ophthalmic surgical pathologies, 28.2% had various pathologies of the macular zone. The most common macular pathology occurred in the age group from 45 to 59 years old, accounting for 56.2% of cases. In the nosological structure of macular pathology, the share of AMD and epiretinal fibrosis prevailed. Key words: macular pathology, age-related macular degeneration, epiretinal fibrosis.

Standardization of Food, Accommodation and Service Processes at Federal State Institution «Volga Cliff Resort»

2019 ◽  
Vol 23 (3) ◽  
pp. 88-91
Author(s):  
V.A. Labzin ◽  
◽  
S.N. Melnikov ◽  
O.A. Russkin ◽  
V.K. Yakushev ◽  
...  
Keyword(s):  
State Institution ◽  
Federal State

Experience in surgical treatment of idiopathic macular ruptures in Orenburg branch of The S. Fyodorov Eye Microsurgery Federal State Institution

2021 ◽  
pp. 97-100
Author(s):  
A.S. Firsov ◽  
◽  
A.D. Chuprov ◽  
V.A. Trubnikov ◽  
A.E. Voronina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Silicone Oil ◽  
Platelet Rich Plasma ◽  
Functional Results ◽  
State Institution ◽  
Federal State ◽  
Rate Of Increase ◽  
Surgical Methods ◽  
Medical Effectiveness ◽  
Group 5

Purpose. To study the anatomical and functional results of various methods of surgical treatment of idiopathic macular rupture. Material and methods. In the course of this study, 50 medical records of patients with a diagnosis of macular rupture were randomly selected from the total number of those, who underwent the surgery at the Orenburg branch of The S. Fyodorov Eye Microsurgery Federal State Institution for 2020 year. Patients were divided into 3 groups. In the first group (38 eyes), the macular rupture was closed using ACP and PRP, in the second group (7 eyes) – using an inverted flap of the internal border membrane, in the third group (5 eyes) – by mechanical convergence of the edges of the rupture followed by tamponade of the vitreous cavity with silicone oil. Results. To assess the medical efficiency of the studied methods of surgical treatment of idiopathic macular rupture, the rate of increase in the maximum corrected visual acuity (MCVA) was calculated for each patient. Conclusion. The calculated indicator of the dynamics of vision improvement «the rate of BCVA growth» as a whole reflects the positive dynamics of the treatment of idiopathic macular rupture by surgical methods and can be used to assess the medical effectiveness of methods of treating patients with eye diseases initially with different values of the BCVA parameter. In the course of the analysis, no significant differences were found between the influence of various methods of surgical treatment of macular rupture on the rate of BCVA growth or rupture closure. Correlation analysis did not establish a statistically significant dependence of the growth rate of BCVA on the initial size of the rupture. Key words: macular rupture, inverted flap, platelet-rich plasma (PRP), autologous conditioned plasma (ACP).

scholarly journals 537 Implications of Covid-19 on Vitreoretinal and Cataract Surgery

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Kabbani ◽  
J Kabbani
Keyword(s):  
Cataract Surgery ◽  
Negative Impact ◽  
Three Dimensional ◽  
Vitreoretinal Surgery ◽  
Well Being ◽  
Ophthalmic Surgery ◽  
Surgeon Training ◽  
Literature Searches ◽  
Trainee Surgeon ◽  
Surgery Rates

Abstract Introduction The coronavirus pandemic (COVID-19) has greatly impacted ophthalmic surgery, including changes to surgical protocols and training. We explored the effects on vitreoretinal and cataract surgeries, which constitute the commonest areas of ophthalmic surgery. Method Literature searches were performed for the terms “vitreoretinal”, and “cataract”, each in combination with “surgery” and “Covid-19”. Relevant results were assessed to determine perceived impact on ophthalmic theatres. Results 36 search results were analysed; 25 and 11 for cataract and vitreoretinal surgery respectively. Efforts to reduce infection rates have significantly reduced non-urgent operations, with reports of just 5.7% of ophthalmologists in certain areas performing cataract surgeries. Furthermore, surgeons have been advised to perform bilateral cataract surgery, and to combine phacoemulsification with vitreoretinal surgery, thereby avoiding deferred operations and further exposure. Other recommended changes in surgical strategies to enhance safety include three-dimensional heads-up displays for vitreoretinal surgeries, novel microscope drapes, and virtual consultations for surgery follow-up. Various reports indicate a negative impact on junior surgeon training and mental well-being; indeed, The Royal College of Ophthalmology has recommended assigning operations to experienced surgeons. Conclusions Ophthalmic surgery rates and protocols have been impacted in the effort to reduce Covid-19 spread. Trainee surgeon education and well-being warrant further attention.

Sign in / Sign up

Export Citation Format

Share Document