CLINICAL CASE OF LONG-TERM RESULTS OF KERATO-REFRACTIVE SURGERIES IN A PATIENT WITH A HIGH MYOPIA

2019 ◽  
Vol 21 (4) ◽  
pp. 14-16
Author(s):  
M.A. Frolov ◽  
◽  
P.A. Gonchar ◽  
V.A. Biletskaya ◽  
E.S. Belyaeva ◽  
...  
Keyword(s):  
High Myopia ◽  
Clinical Case ◽  
Long Term Results

scholarly journals Microabrasion: An Effective Method for Improvement of Esthetics in Dentistry

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Biji Balan ◽  
Chengappa Madanda Uthaiah ◽  
Sreejesh Narayanan ◽  
Priyadarshini Mookalamada Monnappa
Keyword(s):  
Hydrochloric Acid ◽  
Male Patient ◽  
Efficient Method ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Enamel Surface ◽  
Long Term Results ◽  
Clinical Implications ◽  
Results Of Treatment

Enamel microabrasion can eliminate enamel irregularities and discoloration defects, thus improving the appearance of teeth. This paper presents the latest treatment protocol of enamel microabrasion to remove stains on the enamel surface. It has been verified that teeth submitted to microabrasion acquire a yellowish colour because of the thinness of the remaining enamel, revealing the colour of dentinal tissue to a greater degree. Enamel microabrasion is a technique that can be used to correct discoloured enamel. Enamel microabrasion was developed in the mid-1980s as a method of eliminating enamel discolouration defects and improving the appearance of teeth. Several years after the method was developed, much has been learned about this technique, long-term results of treatment, and microscopic changes to the enamel surface that have distinguishable clinical implications. In addition, certain patients can benefit from enamel microabrasion to yield attractive cosmetic results. The aim of this study was to report the clinical case of a male patient of 25 years with moderate fluorosis, whose smile was re-established by the use of an enamel microabrasion technique, with 18% hydrochloric acid and pumice slurry shown to be a safe and efficient method for removing fluorosis stains.

scholarly journals Retrospective analysis of long-term clinical and functional outcomes of implantation of domestically produced posterior chamber PIOL

2021 ◽  
pp. 6-9
Author(s):  
G.V. Sorokoletov ◽  
◽  
E.R. Tumanyan ◽  
A.N. Bessarabov ◽  
M.A. Soboleva ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Intraocular Lens ◽  
Postoperative Period ◽  
Functional Outcomes ◽  
High Myopia ◽  
Long Term Results ◽  
Posterior Chamber ◽  
Long Term Outcomes ◽  
Phakic Intraocular Lens

Introduction. The use of phakic intraocular lens (PIOL) for the correction of high ametropia is reflected in the works of both domestic and foreign ophthalmologists. In spite of this, there are very few publications which are devoted to the long-term outcomes of the use of domestically produced models of PIOL such as RSK-1(3) and RSK-3. Purpose. The main aim of this work is to assess the clinical and functional outcomes of the use of domestically produced models of PIOL such as RSK-1(3) and RSK-3. Material and methods. A retrospective analysis of the long-term results of PIOL implants performed at the Fyodorov Eye Microsurgery Federal State Institution was carried out from 1994 to 2001. The analysis involved 122 eyes of 84 patients with high myopia from who were implanted with posterior chamber negative PIOL with two haptic elements (RSK-3) and PIOL with three haptic elements (RSK-1(3). Results. Analysis of the dynamics of postoperative refractive data in compare with preoperative parameters showed us that in all cases there was a significant increase in uncorrected and corrected visual acuity. Long-term outcomes of implantation were found in 25 patients (43 eyes). The average duration of PIOL in the eye was 14.30±1.3 g (from 2 to 30 years). In all cases, the reducing cell density of the corneal epithelium did not exceed 4.0% in the early postoperative period. At the same time, the main complication in the distant postoperative period was the development of subcapsular cataracts. Conclusions. This method of ametropia correction can be recommended to young patients, who are not suitable for keratorefraction interventions. Key words: phakic intraocular lens, high myopia.

Mitral valve replacement and implantation of an extracardial mesh frame in patients with severe heart failure: results of a clinical study and a description of a clinical case 18 years after surgery

Kardiologiia ◽  
2021 ◽  
Vol 61 (9) ◽  
pp. 4-10
Author(s):  
Yu. N. Belenkov ◽  
A. V. Koroteev ◽  
V. Yu. Mareev
Keyword(s):  
Heart Failure ◽  
Drug Therapy ◽  
Clinical Case ◽  
Severe Heart Failure ◽  
Left Ventricular ◽  
Long Term Results ◽  
Hospital Death ◽  
Left Ventricular Volumes ◽  
Combination Drug

Aim    Dilated cardiomyopathy (DCMP) is a major cause for severe heart failure. Development of a combination (drug and surgery) treatment of this disease is relevant. This prospective observational study was aimed at evaluating short- and long-term results of extracardiac mesh implantation in DCMP patients with heart failure resistant to the optimum drug therapy.Material and methods    The extracardiac mesh ACOR-1 was implanted in 15 patients with DCMP. All meshes were produced individually for each patient and made of Gelweave (great Britain) vascular graft strips. The mesh size corresponded to the heart diastolic size, which was measured after achieving a maximum possible clinical improvement for the patient. Long-term results were followed for up to 4 years. Mean age of patients was 43.1±10.8 years (from 28 to 62 years). One patient was followed up for 18 years. Data of that patient were presented as a clinical case report.Results    From October, 2003 through October, 2007, 15 DCMP patients received mesh implants. Cases of in-hospital death were absent. In 3 mos. after the surgery, left ventricular volumes decreased (end-diastolic volume decreased from 251.7±80.7 to 229.0±61.3 ml; end-systolic volume decreased from 182.3±73.6 to 167.7±46.2 ml), and the left ventricular pump function improved (ejection fraction increased from 25.2±6.0 to 27.1±5.1 %; cardiac index increased from 2.0±0.5 to 2.4±0.7 ml /min /m2). The functional state of patients improved by one NYHA class, from 3.7±0.3 to 2.8±0.6. In some cases, the left ventricular size and the systolic function completely normalized. There were no episodes of circulatory decompensation in the long term after surgery. Actuarial survival for the observation period was 100%.Conclusion    Implantation of extracardiac mesh prevented progression of heart dilatation and, in combination with drug therapy, it may represent an effective method for treatment of DCMP.

The use of autologous conditioned plasma (acp) in surgery of severe posterior eye segment pathology. Three years of experience on using the technology

2021 ◽  
pp. 15-19
Author(s):  
D.G. Arsiutov ◽  
◽  
◽  
◽  
Keyword(s):  
Retinal Detachment ◽  
Macular Hole ◽  
High Myopia ◽  
Long Term Results ◽  
Laser Coagulation ◽  
Eye Injury ◽  
Eye Injuries ◽  
Surgical Closure ◽  
Subretinal Neovascular Membrane

Purpose. To evaluate the effectiveness and long-term results of the use of autologous conditioned plasma in the surgery of open eye injury, including perforating eye injuries, surgery of the cicatricial stage of the subretinal neovascular membrane, rhematogenous retinal detachment, including retinal detachment with macular hole in people with high myopia with expressed scleral staphyloma, without the use of an additional laser coagulation of the retina and the almost complete exclusion of silicone tamponade. Material and methods. Since 2018, more than 250 patients with various vitreous pathologies of the posterior eye segment have been operated on perforating eye injuries, cicatricial stage of the subretinal neovascular membrane, idiopathic macular rupture, rhegmatogenous retinal detachment, including those with macular holes, including cases with high myopia and expressed scleral staphyloma. The developed technology of surgical closure of defects of the retina, choroid, sclera of various lengths using autologous conditioned plasma, made it possible to completely eliminate the need for laser coagulation of the retina, which in most cases would be difficult and unsafe, and to practically exclude silicone tamponade. A method of seamless sealing of sclero and conjunctivotomies with the variant of air tamponade using autologous conditioned plasma has been developed and successfully applied. Results. In the early postoperative period the patients in all clinical groups had no complications. Complete adhesion of the retina and sealing of defects in the structures of the eye after using autologous conditioned plasma without additional laser coagulation of the retina on the background of the applied air and silicone tamponade was observed in all patients. In the long-term follow-up period up to 28 months, there were isolated recurrences of retinal detachment after surgery of complex open eye injury, rhematogenous retinal detachment on the background of progression of proliferative vitreoretinopathy. More than 89% of patients had no complications in the long-term period. Complete closure of the sclero and conjunctivotomies without the use of additional suture fixation had been achieved. In all cases, the vascular pattern of the conjunctiva was preserved, in no case was a reactive process detected at the site of application of autologous conditioned plasma. Conclusion. The use of autologous conditioned plasma is an effective and safe method of sealing defects of the retina, choroid, sclera of various lengths in complex open eye injury, of surgery of rhematogenous retinal detachment, including high myopia and the presence of a macular hole, of surgery of the cicatricial stage of the subretinal neovascular membrane, allowing to completely eliminate the need for laser coagulation of the retina, minimize the need for silicone tamponade.

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