[Comparative analysis of clinical and functional parameters in patients with stable stage II-III keratoconus after implantation of corneal segments and fitting of scleral rigid contact lenses].

Q3 Medicine

Vestnik oftalmologii Pub Date : 2024-01-01 DOI:10.17116/oftalma202414002172

A T Khanjian, A V Ivanova, A S Sklyarova, N V Khodzhabekyan, I V Manukyan

{"title":"[Comparative analysis of clinical and functional parameters in patients with stable stage II-III keratoconus after implantation of corneal segments and fitting of scleral rigid contact lenses].","authors":"A T Khanjian, A V Ivanova, A S Sklyarova, N V Khodzhabekyan, I V Manukyan","doi":"10.17116/oftalma202414002172","DOIUrl":null,"url":null,"abstract":"The modern treatment strategy for keratoconus (KC) involves sequential application of medical technologies aimed at stabilizing pathological changes in the cornea and restoring visual acuity.Purpose: This study compares the effect of implantation of intrastromal corneal ring segment (ICRS) and fitting of individual scleral rigid contact lenses (RCLs) on visual functions in patients with stage II-III KC after previously performed corneal collagen cross-linking.Material and methods: The Helmholtz National Medical Research Center of Eye Diseases examined and treated 34 patients (69 eyes) aged 18 to 33 years with stage II-III KC. The study included patients who had previously undergone standard corneal collagen cross-linking. Depending on the type of optical correction, the patients were divided into two groups: patients in group 1 underwent ICRS implantation using a femtosecond laser; patients in group 2 were fitted with individual scleral RCLs.Results: Improvement in clinical and functional parameters was observed in both groups. A higher clinical and functional result was achieved in group 2.Conclusion: For patients with stable stage II-III KC, it is advisable to recommend fitting of individual scleral RCLs for visual rehabilitation.","PeriodicalId":23529,"journal":{"name":"Vestnik oftalmologii","volume":"140 2","pages":"72-77"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vestnik oftalmologii","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/oftalma202414002172","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

The modern treatment strategy for keratoconus (KC) involves sequential application of medical technologies aimed at stabilizing pathological changes in the cornea and restoring visual acuity.

Purpose: This study compares the effect of implantation of intrastromal corneal ring segment (ICRS) and fitting of individual scleral rigid contact lenses (RCLs) on visual functions in patients with stage II-III KC after previously performed corneal collagen cross-linking.

Material and methods: The Helmholtz National Medical Research Center of Eye Diseases examined and treated 34 patients (69 eyes) aged 18 to 33 years with stage II-III KC. The study included patients who had previously undergone standard corneal collagen cross-linking. Depending on the type of optical correction, the patients were divided into two groups: patients in group 1 underwent ICRS implantation using a femtosecond laser; patients in group 2 were fitted with individual scleral RCLs.

Results: Improvement in clinical and functional parameters was observed in both groups. A higher clinical and functional result was achieved in group 2.

Conclusion: For patients with stable stage II-III KC, it is advisable to recommend fitting of individual scleral RCLs for visual rehabilitation.

查看原文本刊更多论文

[角膜切片植入术和巩膜硬性接触镜配戴术后稳定期 II-III 角膜炎患者临床和功能参数的比较分析]。

角膜塑形镜（KC）的现代治疗策略包括连续应用旨在稳定角膜病理变化和恢复视力的医疗技术。目的：本研究比较了在先前进行角膜胶原交联术后，植入基质内角膜环段（ICRS）和配戴单独的巩膜硬性角膜接触镜（RCL）对II-III期KC患者视功能的影响：亥姆霍兹国家眼病医学研究中心对 34 名年龄在 18 至 33 岁之间的 II-III 期 KC 患者（69 只眼睛）进行了检查和治疗。研究对象包括曾接受过标准角膜胶原交联术的患者。根据光学矫正的类型，患者被分为两组：第1组患者使用飞秒激光植入ICRS；第2组患者安装单独的巩膜RCL：结果：两组患者的临床和功能参数均有所改善。结论：结论：对于病情稳定的 II-III 期 KC 患者，建议安装单个巩膜 RCL 进行视力康复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Vestnik oftalmologii Medicine-Ophthalmology

CiteScore

0.80

自引率

0.00%

发文量

129

期刊介绍： The journal publishes materials on the diagnosis and treatment of eye diseases, hygiene of vision, prevention of ophthalmic affections, history of Russian ophthalmology, organization of ophthalmological aid to the population, as well as the problems of special equipment. Original scientific articles and surveys on urgent problems of theory and practice of Russian and foreign ophthalmology are published. The journal contains book reviews on ophthalmology, information on the activities of ophthalmologists" scientific societies, chronicle of congresses and conferences.The journal is intended for ophthalmologists and scientific workers dealing with clinical problems of diseases of the eye and physiology of vision.