Results of neurotrophic keratopathy treatment by direct corneal neurotization
Relevance. Trigeminal nerve defeat can lead to the development of neurotrophic keratopathy. The only pathogenetically justified method of treating this pathology is corneal neurotization. Purpose. To develop rehabilitation tactic for the patients with neurotrophic keratopathy based on the analysis o...
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| Format: | Article |
| Language: | Russian |
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Publishing house "Ophthalmology"
2023-11-01
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| Series: | Офтальмохирургия |
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| Online Access: | https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/549/810 |
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| author | M.B. Gushchina S.B. Butsan V.Yu. Sergeeva K.S. Salikhov A.V. Tereshchenko E.V. Erokhina S.A. Mal’kov |
| author_facet | M.B. Gushchina S.B. Butsan V.Yu. Sergeeva K.S. Salikhov A.V. Tereshchenko E.V. Erokhina S.A. Mal’kov |
| author_sort | M.B. Gushchina |
| collection | DOAJ |
| description | Relevance. Trigeminal nerve defeat can lead to the development of neurotrophic keratopathy. The only pathogenetically justified method of treating this pathology is corneal neurotization. Purpose. To develop rehabilitation tactic for the patients with neurotrophic keratopathy based on the analysis of the results of operations performed according to the author’s technique of direct corneal neurotization. Material and methods. 10 direct corneal neurotizations: with initial manifestations – in 2 cases and in the advanced stage of neurotrophic keratopathy – in 8 cases. Results and discussion. Postoperative period proceeded without complications. Corneal sensitivity was restored in 60%. In all cases, corneal transparency improved, the density of the eyesore and the depth of the invasion of opacities decreased, subbasal nerve fibers began to be visualized, positive dynamic in the state of tear production were observed. Perforation defects of the cornea was closed. In initial stage of the disease corneal opacity has almost completely regressed. Conclusion. Direct corneal neurotization provides restoration of its sensitivity, prevention of neurotrophic keratopathy, which provides medical and social rehabilitation. |
| format | Article |
| id | doaj-art-1870c4a8ea2442b89698d75d170d8147 |
| institution | Kabale University |
| issn | 0235-4160 2312-4970 |
| language | Russian |
| publishDate | 2023-11-01 |
| publisher | Publishing house "Ophthalmology" |
| record_format | Article |
| series | Офтальмохирургия |
| spelling | doaj-art-1870c4a8ea2442b89698d75d170d81472025-08-20T03:44:24ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702023-11-011363s374810.25276/0235-4160-2023-3S-37-48Results of neurotrophic keratopathy treatment by direct corneal neurotizationM.B. Gushchina0https://orcid.org/0000-0003-1134-8064S.B. Butsan1https://orcid.org/0000-0002-4013-8472V.Yu. Sergeeva2https://orcid.org/0000-0001-6568-2549K.S. Salikhov3https://orcid.org/0000-0003-1691-9516A.V. Tereshchenko4https://orcid.org/0000-0002-0840-2675E.V. Erokhina5https://orcid.org/0000-0001-7320-9209S.A. Mal’kov6https://orcid.org/0000-0003-0482-8254Central Research Institute of Dental and Maxillofacial Surgery, Moscow, Russian Federation; S. Fyodorov Eye Microsurgery Federal State Institution, Kaluga branch, Kaluga, Russian FederationCentral Research Institute of Dental and Maxillofacial Surgery, Moscow, Russian FederationCentral Research Institute of Dental and Maxillofacial Surgery, Moscow, Russian FederationCentral Research Institute of Dental and Maxillofacial Surgery, Moscow, Russian FederationS. Fyodorov Eye Microsurgery Federal State Institution, Kaluga branch, Kaluga, Russian FederationS. Fyodorov Eye Microsurgery Federal State Institution, Kaluga branch, Kaluga, Russian FederationRussian Medical Academy of Continuing Professional Education of the Ministry of Health, Moscow, Russian FederationRelevance. Trigeminal nerve defeat can lead to the development of neurotrophic keratopathy. The only pathogenetically justified method of treating this pathology is corneal neurotization. Purpose. To develop rehabilitation tactic for the patients with neurotrophic keratopathy based on the analysis of the results of operations performed according to the author’s technique of direct corneal neurotization. Material and methods. 10 direct corneal neurotizations: with initial manifestations – in 2 cases and in the advanced stage of neurotrophic keratopathy – in 8 cases. Results and discussion. Postoperative period proceeded without complications. Corneal sensitivity was restored in 60%. In all cases, corneal transparency improved, the density of the eyesore and the depth of the invasion of opacities decreased, subbasal nerve fibers began to be visualized, positive dynamic in the state of tear production were observed. Perforation defects of the cornea was closed. In initial stage of the disease corneal opacity has almost completely regressed. Conclusion. Direct corneal neurotization provides restoration of its sensitivity, prevention of neurotrophic keratopathy, which provides medical and social rehabilitation.https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/549/810facial nerveparalytic lagophthalmosabductive nerveconvergent paralytic strabismustrigeminal nervecorneal innervationcorneal opacitycorneal sensitivityesthesiometrysupraorbital nerve |
| spellingShingle | M.B. Gushchina S.B. Butsan V.Yu. Sergeeva K.S. Salikhov A.V. Tereshchenko E.V. Erokhina S.A. Mal’kov Results of neurotrophic keratopathy treatment by direct corneal neurotization Офтальмохирургия facial nerve paralytic lagophthalmos abductive nerve convergent paralytic strabismus trigeminal nerve corneal innervation corneal opacity corneal sensitivity esthesiometry supraorbital nerve |
| title | Results of neurotrophic keratopathy treatment by direct corneal neurotization |
| title_full | Results of neurotrophic keratopathy treatment by direct corneal neurotization |
| title_fullStr | Results of neurotrophic keratopathy treatment by direct corneal neurotization |
| title_full_unstemmed | Results of neurotrophic keratopathy treatment by direct corneal neurotization |
| title_short | Results of neurotrophic keratopathy treatment by direct corneal neurotization |
| title_sort | results of neurotrophic keratopathy treatment by direct corneal neurotization |
| topic | facial nerve paralytic lagophthalmos abductive nerve convergent paralytic strabismus trigeminal nerve corneal innervation corneal opacity corneal sensitivity esthesiometry supraorbital nerve |
| url | https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/549/810 |
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