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New approaches to pharmacotherapy of allergic eye diseases

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Veselovska Z. F.1, Veselovska N. M.1, 2

1Kyiv Medical University of UANM, Kyiv, Ukraine

2Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital № 1, Kyiv, Ukraine


 

Summary.The problem of studying the prеvalencе of allergic diseases of the eye and the search for new approaches and effective means to correct this condition does not lose its relevance.

The presented data on the state of profound biochemical studies of the tear film in allergic conditions justify the expediency of the use of eye drops of a new generation. As a result of experimental studies on the effect on the lipid layer ectoine was discovered the mechanism of its therapeutic action. This paper presents compelling evidence that new eye drops based on natural molecules ectoine which are able to restore and maintain the functional state of the lipid layer of the tear film in the pharmacotherapy of аllergic diseases of anterior surface of the eye. The analyzes of multiple experimental data revealed the clear evidence of mechanisms of action on the eye and the first clinical experience with a new pharmacological agent testifies to its strong anti-inflammatory and regenerative effect due to the stabilization of the lipid layer of the tear film and the protection of the front surface of the eye tissue from the hyperosmolarity. It was confirmed by the subjective and objective reducing eye irritation and dryness in reducing itching and burning from the conjunctiva, to improve the moisture level of the surface of the eye, to reduce discomfort of the eyes. The drug can be used in children older than 2 years and adults, when wearing contact lenses, ophthalmic surgery and after an eye injury.

Based on this, it can be conclude that the appearance in the arsenal of new-generation antiallergic eye drops (EYE-t) with sufficient efficacy and safety profile can be regarded as a promising alternative approach to the treatment of allergic and inflammatory eye diseases.

Кеуwords: allergy, eye, tear film, the natural molecule, ectoine, lipids.


 

The actuality of walking round (Filatov) stem at reconstructive operations in ophthalmooncology

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Maletskyi O.P.

PI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine», Odesa, Ukraine

Summary. Plastic reconstruction of facial abnormalities caused by congenital or acquired defects are not always possible by moving the local soft tissue or the use of autografts in the vascular pedicle. In our opinion in such cases the treatment of choice can be used walking round stem proposed by Filatov in 1914. Purpose is to explore the possibility of Filatov stem in ophfthalmooncosurgery.

Two patients had applied Filatov stem. In the first case (23-years female) eyelids were almost absent after enucleation and deep X-ray therapy in 1.5 years of age due to retinoblastoma. The second patient (64 years male) had a cancer of eyelids, orbit, nose and frontal area. Previously been done radiotherapy (110 Gy), cryodestruction of tumor and exenteration of the orbit. In the first case the Filatov stem made possible to form eyelids and conjunctival cavity and perform prosthetics. In the second defects of nose and brow ramp area were successfully closed.

The Filatov stem may be the method of choice for the closing large tissue defects with trophic disorders. Thus, the original method of plastic tissue defects proposed by Filatov 100 years ago, has not lost its relevance today.

 Keywords: reconstructive surgery, walking round stem (Filatov stem), oncology.

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