Investigation of morphologic state of optic part of cornea and limb after wearing soft and orthokeratologic lenses
N.P. PASHTAEV1-3, N.A. POZDEEVA1,2, S.G. BODROVA1, M.M. ZARAYSKAYA1, Yu.M. SIDUKOVA1, O.I. TIKHONOVA1
1The Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 10 Traktorostroiteley Ave., Cheboksary, Russian Federation, 680033
2Doctors’ Improvement Institute of the Ministry of Health of the Russian Federation, 3 Krasnaya Square, Cheboksary, Russian Federation, 428003
3Chuvash State University named after I.N. Ulyanov, 15 Moskovskiy Ave., Cheboksary, Russian Federation, 428015
Pashtaev N.P. ― D. Med. Sc., Professor, Director, tel. (8352) 52-05-75, e-mail: prmntk@chtts.ru
Pozdeeva N.A. ― D. Med. Sc., Deputy Director, tel. (8352) 36-91-81, e-mail: npozdeeva@mail.ru
Bodrova S.G. ― Cand. Med. Sc., Head of the Cabinet of contact correction of vision, tel. (8352) 36-91-23, e-mail: 200mvr@mail.ru
Zarayskaya M.M. ― ophthalmologist of the Cabinet of contact correction of vision, tel. (8352) 36-91-23, e-mail: mary_1812@mail.ru
Sidukova Yu.M. ― ophthalmologist, tel. (8352) 36-91-23, e-mail: it10-4@mail.ru
Tikhonova O.I. ― ophthalmologist of the Cabinet of contact correction of vision, tel. (8352) 36-91-23, e-mail: Olesha21@yandex.ru
25 patients with myopia in varying degrees who used soft contact lenses (SCL) or orthokeratology lenses (OKL) for vision correction were investigated. All patients underwent hystomorphologic investigation of cornea in center and in limb field with confocal tomograph Heidelberg Retina Tomograph-3 (Heidelberg Engineering GmbH, Германия) with corneal module. While cornea was investigated lay by lay, mean density of Langerhans cells in center was 63±5 cells/mm² (range 6-161 cells/mm²), at periphery 103±7 cells/mm² (range 90-117 cells/mm²) in SCL users. Those who wore OKL had mean density of Langerhans cells in center ― 63±5 cells/mm² (range 6-161 cells/mm²), at periphery ― 103±7 cells/mm² (range 90-117 cells/mm²) in SCL users. It should be noted that all of these studies are within the normal range of healthy individuals. Normal values of Langerhans cells density are an objective safety indicator of SCL and OKL application.
Key words: in vivo confocal microscopy, Langerhans cells, orthokeratology lenses.
REFERENCES
- Kivaev A.A., Shapiro E.I. Kontaktnaya korrektsiya zreniya [Contact vision correction]. Moscow: LDM Servis, 2000. 224 p.
- Bourne W.M. The effect of long-term contact lens wear on the cells of the cornea. CLAO J, 2001, vol. 27, no. 4, pp. 225-30.
- Liu Z., Pflugfelder S.C., Naduvilath T. et al. The effects of longterm contact lens wear on corneal thickness, curvature, and surface regularity. Ophthalmology, 2000, vol. 107, no. 1, pp. 105-111.
- Patel S.V., McLaren J.W., Hodge D.O., Bourne W.M. Confocal microscopy in vivo in corneas of long-term contact lens wearers. Invest. Ophthalmol. Vis. Sci, 2002, vol. 43, no. 4, pp. 995-1003.
- Maychuk N.V. Razrabotka kliniko-biokhimicheskoy sistemy diagnostiki, prognozirovaniya i korrektsii porazheniy rogovitsy, indutsirovannykh keratorefraktsionnymi operatsiyami: avtoref. dis. … kand. med. nauk [The development of clinical and biochemical diagnostics, forecasting and correction of corneal lesions induced keratorefractive operations. Synopsis of dis. PhD med. sciences]. Moscow, 2008. 27 p.
- Fullard R.J., Carney L.G. Human tear enzyme changes as indicators of the corneal response to anteriorhypoxia. Acta ophthalmol, 1985, vol. 63, no. 6, pp. 678-683.
- Pashtaev N.P., Bodrova S.G., Borodina N.V. et al. Effect of soft contact lenses on the structure and biomechanical properties of the cornea. Oftal’mokhirurgiya, 2009, no. 4, pp. 10-13 (in Russ.).
- Bodrova S.G., Zarayskaya M.M. Changes in the cornea according to confocal microscopy and biomechanical properties of the analyzer in the early stages after wearing orthokeratology lenses. Prakticheskaya meditsina, 2012, no. 4 (59), pp. 87-90 (in Russ.).
- Pashtaev N.P., Pozdeeva N.A., Bodrova S.G. et al. Morfologicheskie izmeneniya rogovitsy posle dlitel’nogo nosheniya ortokeratologicheskikh linz u patsientov s vysokoy stepen’yu blizorukosti [Morphological changes of the cornea after a prolonged wearing orthokeratology lenses in patients with high myopia]. Nevskie gorizonty-2016: materialy nauch. konf. oftal’mologov. SPbGPMU. Saint Petersburg: Politekhnika-servis, 2016. Pp. 173-176.
- Pashtaev N.P., Pozdeeva N.A., Bodrova S.G. et al. Morfofunktsional’nye izmeneniya rogovitsy posle otmeny ortokeratologicheskikh linz po dannym lazernoy skaniruyushchey konfokal’noy mikroskopii i analizatora biomekhanicheskikh svoystv rogovitsy ORA u patsientov s vysokoy stepen’yu blizorukosti [Morphological and functional changes of the cornea after the abolition of orthokeratology lens by laser scanning confocal microscopy and biomechanical properties analyzer ORA cornea in patients with high myopia]. Sovremennye tekhnologii v oftal’mologii. XIII Vseros. prakt. konf “Fedorovskie chteniya-2016”, 2016, no. 3, pp. 46-49 (in Russ.).
- Aznabaev B.M., AlimbekovaZ.F., Mukhamadeev T.R., Gabbasov A.R. Lazernaya skaniruyushchaya tomografiya glaza: peredniy i zadniy segment [Laser scanning tomography of the eye: anterior and posterior segment]. Moscow: Avgust Borg, 2008. P. 53.
- Guthoff R.F., Baudouin C., Stave J. Atlas of Confocal Laser Scanning In-vivo Microscopy in Opthalmology. Principles and Applications in Diagnostic and Therapeutic Ophtalmology. Springer-Verlag Berlin Heidelberg, 2006. P. 34.
- Zhivov A., Stave J., Vollmar B., Guthoff R. In vivo confocal microscopic evaluation of Langerhans cell dencity and distribution in the corneal epithelium of healthy volunteers and contact lens wearers. Cornea, 2007, vol. 26 (1), pp. 47-54.