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  • Clinical case of a two-step post-radial keratotomy of post-keratotomy refraction disorders in a patient with complicated hyperopic astigmatism and cataract  

    Редактор | 2017, Clinical case, Practical medicine 03 (17) Ophthalmology | 27 апреля, 2017

    I.A. MUSHKOVA, N.V. MAYCHUK, A.V. IGNATYEV

    Interbranch Scientific and Technical Complex «Eye Microsurgery» named after acad. S.N. Fedorov of the Ministry of Health of the Russian Federation, 59а Beskudnikovskiy blvd., Moscow, Russian Federation, 127486

     Mushkova I.A. ― D. Med. Sc., Head of the Department of Refractive Laser Surgery, tel. (499) 488-87-42, e-mail: i.a.muskova@mail.ru

    Maychuk N.V. ― Cand. Med. Sc., Senior Researcher of the Department of Refractive Laser Surgery, tel. (499) 488-89-84, e-mail: drmaichuk@yandex.ru

    Ignatyev A.V. ― postgraduate student of the Department of Refractive Laser Surgery, tel. +7-926-082-83-02, e-mail: artem-i017@mail.ru

    The authors have analyzed the results of cataract phacoemulsification with IOL implantation and consecutive topography-guided photorefractive keratectomy for post-radial keratotomy refractive disorders correction in a patient with complicated hyperopic astigmatism and cataract. The uncorrected visual acuity improved from 0.08 to 0.8. According to keratotopography data, the valuable decrease of Surface Asymmetry Index 0.39 and Surface Regularity Index 0.49 were indicated, while Surface Regularity Index was 0.49.

    Key words: radial keratotomy, post keratotomy refractive disorders correction, cataract phacoemulsification, topography-guided photorefractive keratectomy.

    REFERENCES

    1. Korshunova N.K., Mushkova I.A., Mikhal’chenko N.N., Tingaev V.V. 30-letniy opyt radial’noy keratotomii. Sb. nauchnykh statey 7 s»ezda oftal’mologov, ch. 1 [30-year experience of radial keratotomy. Collection of scientific articles of the 7th Congress of Ophthalmologists, Part 1]. Moscow, 2000. P. 256.
    2. Maychuk N.V. Razrabotka kliniko-biokhimicheskoy sistemy diagnostiki, prognozirovaniya i korrektsii porazheniy rogovitsy, indutsirovannykh keratorefraktsionnymi operatsiyami: avtoref. … kand. med. nauk [Development of a clinical-biochemical system for diagnosis, prediction and correction of corneal lesions induced by keratorefractive operations. Synopsis of dis. PhD med. sciences]. Moscow, 2008.
    3. Panteleev E.N., Malyugin B.E., Bessarabov A.N. et al. Choice of optimal postoperative refraction in phacoemulsification of cataracts in patients after previously conducted anterior dosed radial keratotomy. Vestnik OGU, 2013, no. 4, pp. 201-203 (in Russ.).
    4. Jaycock P.D., Lobo L., Ibrahim J., Tyrer J., Marshall J. Interferometric technique to measure biomechanical changes in the cornea induced by refractive surgery. J. Cataract. Refract. Surg, 2005, Jan, 31 (1), pp. 175-184.
    5. Koch D.D., Maloney R., Hardten D.R. et al. Wavefront-guided photorefractive keratectomy in eyes with prior radial keratotomy; a multicenter study. Ophthalmology, 2009, vol. 116, pp. 1688-1696.
    6. Egorova E.V., Pichikova N.A., Pichikova E.A. The first experience of the use of the sheympfluug image for determining the optical density of the lens during femto-phacoemulsification of cataracts. Vestnik TGU, 2015, vol. 20, iss. 3, pp. 561-563 (in Russ.).

    Метки: 2017, A.V. IGNATYEV, cataract phacoemulsification, I.A. MUSHKOVA, N.V. MAYCHUK, post-keratotomy refractive disorders correction, Practical medicine 03 (17) Ophthalmology, radial keratotomy, topography-guided photorefractive keratectomy

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