Transepithelial photorefractive keratectomy for treatment of stromal corneal opacity in combination with hyperopia refraction and irregular astigmatism
R.A. MAKAROV, I.A. MUSHKOVA, Yu.I. KISHKIN, N.V. MAYCHUK
Interbranch scientific and technical complex «Eye Microsurgery» named after acad. S.N. Fedorov, 59 Beskudnikovsky blvd., Moscow, Russian Federation, 127474
Makarov R.A. ― postgraduate student of the Department of refractive laser surgery, tel. +7-916-426-81-31; e-mail: [email protected]
Mushkova I.A. ― D. Med. Sc., Head of the Department of refractive laser surgery, tel. (499) 488-87-42, e-mail: [email protected]
Kishkin Yu.I. ― Cand. Med. Sc., Head of the Department of refractive laser surgery, tel. (499) 488-89-14, e-mail: [email protected]
Maychuk N.V. ― Cand. Med. Sc., Senior Researcher of the Department of refractive laser surgery, tel. (499) 488-89-84, e-mail: [email protected]
The clinical and functional results of application of a two-stage technology of clinical and functional rehabilitation of the patient with stromal corneal opacity in combination with hyperopia refraction and irregular astigmatism by two successive surgeries: intraocular correction and «transepithelial PRK» in both eyes, were analyzed. Uncorrectable visual activity increased on OD from 0.2 to 0.8, on OS ― from 0.3 to 0.8; density of opacity according to densitometry decreased on OD from 100 to 63 and from 99 to 56 on OS; according to the data from optical coherence tomography, depth of opacity decreased from 280 microns to 99 microns in the right eye and from 181 microns to 90 microns in the left eye. No regression during the follow-up of nine months has been observed.
Key words: transepithelial photorefractive keratectomy, hyperopia, corneal opacity, irregular astigmatism