Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification
Inflammatory complications of cataract phacoemulsification are among the most urgent and potentially vision-threatening conditions. Corneal melting is a rare but clinically significant condition preceding corneal perforation. The main risk factors are the use of nonsteroidal anti-inflammatory drugs...
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| Format: | Article |
| Language: | Russian |
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Real Time Ltd
2023-10-01
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| Series: | Российский офтальмологический журнал |
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| Online Access: | https://roj.igb.ru/jour/article/view/1310 |
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| author | S. N. Svetozarskiy A. N. Andreev A. V. Shvaikin I. G. Smetankin |
| author_facet | S. N. Svetozarskiy A. N. Andreev A. V. Shvaikin I. G. Smetankin |
| author_sort | S. N. Svetozarskiy |
| collection | DOAJ |
| description | Inflammatory complications of cataract phacoemulsification are among the most urgent and potentially vision-threatening conditions. Corneal melting is a rare but clinically significant condition preceding corneal perforation. The main risk factors are the use of nonsteroidal anti-inflammatory drugs (NSAIDs), severe dry eye disease and rheumatic diseases. The paper presents a literature review and offers an analysis of a clinical case of corneal melting after cataract phacoemulsification in a female patient with severe dry eye disease, which was undiagnosed before surgery. The follow-up period was 5 years. The possibilities and limitations of multiple methods of corneal melting treatment at the stages of persistent epithelial defect and corneal ulcer are discussed. The mechanism of disease development and its link with the pathogenesis of dry eye disease and the role of topical NSAIDs as a trigger for the initiation and progression of corneal melting are considered. |
| format | Article |
| id | doaj-art-77f0c87f262c4646a6ceed0742e7fbd9 |
| institution | DOAJ |
| issn | 2072-0076 2587-5760 |
| language | Russian |
| publishDate | 2023-10-01 |
| publisher | Real Time Ltd |
| record_format | Article |
| series | Российский офтальмологический журнал |
| spelling | doaj-art-77f0c87f262c4646a6ceed0742e7fbd92025-08-20T03:19:24ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602023-10-0116312713510.21516/2072-0076-2023-16-3-127-135621Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsificationS. N. Svetozarskiy0A. N. Andreev1A. V. Shvaikin2I. G. Smetankin3Volga District Medical Center, Federal Medical and Biological Agency; Volga District Medical UniversityVolga District Medical Center, Federal Medical and Biological AgencyVolga District Medical Center, Federal Medical and Biological AgencyVolga District Medical Center, Federal Medical and Biological Agency; Volga District Medical UniversityInflammatory complications of cataract phacoemulsification are among the most urgent and potentially vision-threatening conditions. Corneal melting is a rare but clinically significant condition preceding corneal perforation. The main risk factors are the use of nonsteroidal anti-inflammatory drugs (NSAIDs), severe dry eye disease and rheumatic diseases. The paper presents a literature review and offers an analysis of a clinical case of corneal melting after cataract phacoemulsification in a female patient with severe dry eye disease, which was undiagnosed before surgery. The follow-up period was 5 years. The possibilities and limitations of multiple methods of corneal melting treatment at the stages of persistent epithelial defect and corneal ulcer are discussed. The mechanism of disease development and its link with the pathogenesis of dry eye disease and the role of topical NSAIDs as a trigger for the initiation and progression of corneal melting are considered.https://roj.igb.ru/jour/article/view/1310keratomalaciacataract extractionpostoperative complicationsinflammationdry eye diseasecorneal ulceration |
| spellingShingle | S. N. Svetozarskiy A. N. Andreev A. V. Shvaikin I. G. Smetankin Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification Российский офтальмологический журнал keratomalacia cataract extraction postoperative complications inflammation dry eye disease corneal ulceration |
| title | Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification |
| title_full | Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification |
| title_fullStr | Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification |
| title_full_unstemmed | Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification |
| title_short | Risk factors, diagnostics and treatment of corneal melting after cataract phacoemulsification |
| title_sort | risk factors diagnostics and treatment of corneal melting after cataract phacoemulsification |
| topic | keratomalacia cataract extraction postoperative complications inflammation dry eye disease corneal ulceration |
| url | https://roj.igb.ru/jour/article/view/1310 |
| work_keys_str_mv | AT snsvetozarskiy riskfactorsdiagnosticsandtreatmentofcornealmeltingaftercataractphacoemulsification AT anandreev riskfactorsdiagnosticsandtreatmentofcornealmeltingaftercataractphacoemulsification AT avshvaikin riskfactorsdiagnosticsandtreatmentofcornealmeltingaftercataractphacoemulsification AT igsmetankin riskfactorsdiagnosticsandtreatmentofcornealmeltingaftercataractphacoemulsification |