3 (05) 2016

Clinical case of high altitude retinopathy

 Veselovska N. M.^{1, 2}, Kukhar N. V.^{1, 2}

¹Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital no. 1, Kyiv, Ukraine
²Кyiv Medical University of UAFM, Kyiv, Ukraine

 Summary. High altitude retinopathy is acquired vascular pathology. It is a component of more complex problem due to a long stay on high altitude – high altitude illness. In this article we describe the clinical case of treatment of the patient with high altitude retinopathy, after high altitude climbing at 7,500 m. High altitude retinopathy is a part of high altitude disease which includes the high altitude brain edema and high altitude lung edema. In this article classification and physiology mechanisms of high altitude retinopathy are described.

 Keywords: high altitude retinopathy, retinal hemorrhage, high altitude brain edema, high altitude optic neuropathy and edema.

REFERENCES

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Received: 8 Apr. 2016

Published: December 2016

Modern aspects of treatment of cataract and glaucoma

Veselovska Z. F.^{1, 2}, Veselovska N. M.^{1, 2}, Zherebko I. B.^{1, 2}

¹Kyiv Medical University of UAFM, Kyiv, Ukraine
²Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital no. 1, Kyiv, Ukraine 

 Summary. The combination of such diseases as glaucoma and cataract are widely discussed in ophthalmology. Today there is no clear guidance of medical care.

 Purpose. To analyze the data of literature on the tactics of care the glaucoma patients with cataract.

 Material and methods. The data of modern literature on clinical management of patients with glaucoma and cataract were learned.

Results and discussion. The paper presents an analysis of current data on the clinical aspects of the management of patients with glaucoma and cataract. Separate questions of cataract in patients with glaucoma, the relationship and the role of the interplay of this pathology in the progressive deterioration of visual function, as well as modern approaches to the tactics of care and surgery of glaucoma in patients with cataract are discussed. It was emphasized on the one and two-step approach in the rehabilitation of the patients with such combined pathology, particularly in patients with anophthalmos. It was presented the list of possible and well known postoperative complications. 

Keywords: cataract, glaucoma, treatment and rehabilitation. 

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3. Anisimova S. Yu., Anisimov S. I., Zagrebelnaya L. V. The results of combined phacoemulsification, penetrating deep sclerectomy and selecting an intraocular lens in patients with glaucoma. Proceedings of the Glaukoma: problemy i resheniya. Moscow, 2004, pp. 342–348 (in Russian).
4. Bessonov I. L., Gusev Yu. A., Trubilin V. N., Makkaeva S. M. Single-step primary open-angle glaucoma and complicated cataract surgery using modified technique of stainless steel Glaucoma Filtration Device implantation. Oftalmologiya [Ophthalmology]. 2013; 10(3): 9–12 (in Russian).
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Received: 15 May 2016

Published: December 2016

Changes of retinal morphology after cataract surgery with the femtosecond laser

 Steblovska I. S.¹, Bezkorovaina I. M.¹, Parkhomenko H. Ya.²

¹Ukrainian medical stomatological Academy, Poltava, Ukraine
²Ophthalmologic center “New Sightˮ, Kyiv, Ukraine

Abstract

Purpose. To investigate morphological changes of the retina after cataract surgery with the femtosecond laser.

 Material and methods. In the study were included 11 patients (19 eyes) at the age of 62.4 years, which were operated: femtosecond laser cataract surgery. Investigation of the retinal thickness were carried out using optical coherent tomography (OCT), also patients were conducted a survey tagline format.

 Results. The follow-up examination revealed: statistically significant changes in OCT parameters of retina after femtosecond laser cataract removal were not found in any of the observation period; within three months after surgery the clinically significant macular edema has not happened in any case and the significant change in the complex of ganglion cells and retinal nerve fibers in all terms of follow up were not revealed.

 Keywords: cataracts, femtosecond laser, retina.

REFERENCES

1. Goncharenko O. V., Zabolotniy A. G., Matsko V. V., Martsinkevich A. O. Ensuring and improving the technological level of safety of cataract surgery based on clinical applications of femtosecond laser. Proceedings of the XXV Russian scientific-practical conference with international participation (Russian, Orenburg, 2014). Orenburg, 2014, рр. 104–106 (in Russian).
2. Zabolotniy A. G., Misakyan K. S., Bronskaya A. N. Analysis of the quality of innovation Femto laser cataract surgery, the study of the influence of femtosecond laser on hindfoot structures of the eye by optical coherence tomography. Vestnik Tambovskogo universiteta [Tambov University bulletin]. 2015; (3): 573–576 (in Russian).
3. Femtolazer cataract extraction. Available at: http://www.eurotimesrussian.org/newsitem.asp ?id=3696 (last access 8 January 2015) (in Russian).

Received: 11 May 2016

Published: December 2016