Abildayev, D.A. (2018) CORNEAL SUTURES OR METHODS WHICH ARE MORE LIKELY TO REDUCE SUTURE-RELATED COMPLICATION. Scientific-Practical Journal of Medicine, "Vestnik KazNMU" (4). ISSN 2524 - 0692

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According to previous studies, we've described several advances in corneal surgery, that have brought enhanced results .They have also been associated with unwanted adverse events. Therefore, we conducted analysis to compare and estimate effectiveness of the treatments, diminishing post-surgical complications. We searched PubMed, Lancet, for clinical trials, making an accent to the management or prevention of such complications as astigmatism and scarring. According to our analysis of reviews, we highlighted such preventative measures like excimer laser keratoplasty method; collagen cross-linking which is beneficial for wound strengthening; AFG; X-pattern sutures and horizontal suture. Besides the last study showsmore safe and efficient way to reduce the risk of egress of fluid from the eye after wound leakage during cataract surgery . Introduction.“Corneas are the most commonly transplanted tissue worldwide, and the indications for transplantation cover a wide range of diseases (tables 1 and 2). In the USA, 42 642 corneal transplantations were done in 2010 [1] compared with 12 623 solid-organ transplantations in 2008, including kidney, liver, lung, pancreas, heart, and intestine.[2] In the UK in 2010 and 2011, there were 3565 corneal, 2671 kidney, and 689 liver transplantations”[3]. Corneal transplantation or keratoplasty has developed quickly within the previous 10 years. Penetrating keratoplasty, a technique comprising of full-thickness substitution of the cornea, has been the predominant methodology for more than 50 years, and effectively obliges most reasons for corneal visual impairment. The selection of fresher types of lamellar transplantation by specialist surgeons , which specifically substitute just affected layers of the cornea, has been a crucial change as of late. Deep anterior lamellar keratoplasty is substituting penetrating keratoplasty for disarranges affecting the corneal stromal layers, while eradication of the danger of endothelial rejection. Endothelial keratoplasty, which specifically replaces the corneal endothelium in patients with endothelial disease, has brought about more quick and unsurprising visual results. Other developing treatments are ocular surface reconstruction and artificial cornea (keratoprosthesis) surgery, which have turned out to be all the more broadly accessible as a result of fast advances in these systems [4]. On the whole, these advances have brought about enhanced results, and at the same time have extended the quantity of complications. This article was aimed to describe actual methods of avoidance of surgical-induced postoperative complications. Methods. For this review, the authors searched PubMed ,The Lancet using the keywords “keratoplasty; corneal sutures;Amniotic membrane, astigmatism”. They also searched ophthalmology books about cornea and papers published in the last 5-10 years discussing the different steps of evolution of corneal surgeries and management of endothelial diseases. The authors used the statistics of the eye bank association of America. The abstract, the full article and references were obtained and references checked for additional material where appropriate.

Item Type: Article
Uncontrolled Keywords: keratoplasty; corneal sutures; Amniotic membrane, astigmatism
Subjects: R Medicine > RD Surgery
Divisions: Научно-практический журнал "Вестник КазНМУ" > Выпуск №4 2016 год
Depositing User: Mr Askhat Zhakaev
Date Deposited: 08 Jan 2019 05:43
Last Modified: 08 Jan 2019 05:43

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