Treatment of stromal corneal opacity in postherpetic etiology using topographically customized transepithelial photorefractive keratectomy and deep anterior lamellar keratoplasty: comparison of clinical and functional results
R.A. MAKAROV, I.A. MUSHKOVA, N.V. MAYCHUK, G.M. CHERNAKOVA
The S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskudnikovsky Blvd., Moscow, Russian Federation, 127486
Contact:
Makarov R.A. ― Clinical postgraduate student of the Department of Laser Refractive Surgery, e-mail: dr.ruslanmakarov@gmail.com
Mushkova I.A. ― D. Med. Sc., Head of the Department of Laser Refractive Surgery, Scientific Secretary of the Dissertation Committee at Interbranch scientific and technical complex «Eye Microsurgery», Eye Surgeon, tel. (499) 488-87-42, e-mail: i.a.muskova@mail.ru
Maychuk N.V. ― Cand. Med. Sc., Senior Research Associate of the Department of Laser Refractive Surgery, Eye Surgeon, tel. (499) 488-89-84, e-mail: drmaichuk@yandex.ru
Chernakova G.M. ― Cand. Med. Sc., Eye Surgeon, Assistant Professor at Research and Educational Center, tel. (499) 488-84-81, e-mail: chernakova111@yandex.ru
A comparative analysis of the clinical and functional results of the use of topographically customized transepithelial photorefractive keratectomy and deep anterior lamellar keratoplasty in treatment of stromal corneal opacity was made. Uncorrected visual acuity was statistically significantly higher in the group with topographically customized transepithelial photorefractive keratectomy as compared to the group with deep anterior lamellar keratoplasty (0.52±0.03 (from 0.5 to 0.6) and 0.23±0.08 (from 0.1 to 0.3), respectively) (p=0.027), with statistically comparable values of the best corrected visual acuity (0.62±0.07 (0.5 to 0.7) and 0.5±0,13 (0.4 to 0.7), respectively) (p=0.461). There are no signs of keratectasia in any case.
Key words: transepithelial photorefractive keratectomy, corneal opacity, irregular astigmatism, deep anterior lamellar keratoplasty, herpetic stromal keratitis, PCR-based diagnostics.
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