Journal of Ophthalmology最新文献

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Anatomical and functional outcomes of idiopathic macular hole surgery with fovea-sparing versus conventional internal limiting membrane peeling 特发性黄斑孔手术保留中央凹与常规内限制膜剥离的解剖和功能结果
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh20235310
Зоя Розанова, Миколай Уманець, Наталя Храменко, Алла Невська, Інес Буаллагуі
{"title":"Anatomical and functional outcomes of idiopathic macular hole surgery with fovea-sparing versus conventional internal limiting membrane peeling","authors":"Зоя Розанова, Миколай Уманець, Наталя Храменко, Алла Невська, Інес Буаллагуі","doi":"10.31288/oftalmolzh20235310","DOIUrl":"https://doi.org/10.31288/oftalmolzh20235310","url":null,"abstract":"Purpose: To compare fovea-sparing and conventional internal limiting membrane (ILM) peeling in idiopathic macular hole (IMH) surgery in terms of IMH closure type, hole closure incidence and visual outcome. Material and Methods: The ILM was peeled around the IMH in the conventional ILM peeling group. In the fovea-sparing ILM peeling group, an ILM flap was created temporally to the IMH (with an ILM remnant left attached to the margins of the IMH), folded over the hole and stabilized with viscoelastic. Gas tamponade with 20% SF6 or 15% С3F8 was used. In the postoperative period, IMH closure pattern was assessed. Thicknesses of the outer retinal layers, inner retinal layers and retinal nerve fiber layer in the macular region were measured at 1 and 3 months. Results: Totally, 70 patients (15 males and 55 females) had an IMH surgery in 71 eyes. The mean age (SD) was 65.7 (6.8) years. The median IMH duration (interquartile range (IQR)) was 3.0 (1.0-6.0) months, and the mean preoperative BCVA (standard deviation (SD)), 0.19 (0.16). Thirty-four eyes had an IMH surgery with conventional ILM peeling, and 37 eyes, an IMH surgery with fovea-sparing ILM peeling. The two groups were matched in terms of preoperative visual acuity and macular hole duration. IMH closure was achieved in 30/34 eyes (88.2%) in the conventional ILM peeling group and 33/37 eyes (89.2%) in the fovea-sparing ILM peeling group. Particularly, IMH closure was achieved in 13/17 eyes that received gas tamponade with 20% SF6 and 20/20 eyes that received that with 15% С3F8 in the latter group. The rate of correct IMH closure pattern was substantially higher (64% versus 47%) and median postoperative BCVA (IQR), significantly better (0.55 (0.35-0.7) versus 0.43 (0.35-0.6), р = 0.039) in the fovea-sparing ILM peeling group than in the conventional ILM peeling group. An analysis of variance found a significant effect of the type of IMH surgery and IMH closure pattern on the postoperative BCVA (F1 = 5.06, p = 0.027; F2 = 7.9, p = 0.0001). In both groups, we found a significant thinning of the total retinal thickness in the central 1-mm foveal zone at 3 months compared to 1 month after surgery. There was a significant thinning of the outer and inner retinal layers in the conventional ILM peeling group, and no significant thickness changes in the retinal layers in the fovea-sparing group. Conclusion: Our fovea-sparing ILM peeling technique is an effective treatment option for IMHs, and when used with gas tamponade with 15% С3F8, enabled a primary surgery IMH closure rate of 100%.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135320522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications after proton therapy of choroidal melanoma: A case report 脉络膜黑色素瘤质子治疗后并发症1例
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202355659
Natalia Kuková, Maria Molnarova, Jana Stefanickova
{"title":"Complications after proton therapy of choroidal melanoma: A case report","authors":"Natalia Kuková, Maria Molnarova, Jana Stefanickova","doi":"10.31288/oftalmolzh202355659","DOIUrl":"https://doi.org/10.31288/oftalmolzh202355659","url":null,"abstract":"Proton beam therapy is a globe preserving treatment method of choroidal melanoma. It is considered to be less harmful for the tissues around the tumour but the complications such as radiation retinopathy and neuropathy occur according to the dosage of irradiation. The visual outcomes after treatment are variable and dependent on the size of tumour. This article presents a case report of a 44-year-old male with choroidal melanoma in the left eye. Patient was examined in our ophthalmology practice because of photopsia and blurry vision during physical activity. After full ophthalmologic examination, fundus photography, optic coherent tomography, fluoresceine angiography and ultrasonography the diagnosis of malignant melanoma of choroid was set. The patient was referred to a proton center to undergo a proton therapy of choroidal melanoma in the left eye. Follow-up treatment of severe postradiation retinopathy and neuropathy is presented in the article. The patient took intravitreal bevacizumab injections and the panretinal lasercoagulation was performed. After one and half year follow up the melanoma is stable after therapy with no metastases.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"77 13-14","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area 含金纳米颗粒和硬晶石的水凝胶植入物的抗菌效果,并开发用于眼眶和眶周区域重建手术
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202352733
Ю. М. Самченко, С. М. Дибкова, Анатолій Малецький, Л. О. Керносенко, Т. Г. Грузіна, Н. О. Пасмурцева, Л. С. Рєзніченко, О. Б. Лютко, К. В. Вітрак, Н. М. Бігун, П. В. Воротицький, І. Є. Мамишев
{"title":"Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area","authors":"Ю. М. Самченко, С. М. Дибкова, Анатолій Малецький, Л. О. Керносенко, Т. Г. Грузіна, Н. О. Пасмурцева, Л. С. Рєзніченко, О. Б. Лютко, К. В. Вітрак, Н. М. Бігун, П. В. Воротицький, І. Є. Мамишев","doi":"10.31288/oftalmolzh202352733","DOIUrl":"https://doi.org/10.31288/oftalmolzh202352733","url":null,"abstract":"Background: It is important to develop orbital hydrogel implants capable of depositing drugs (particularly, antimicrobial and anticancer drugs). Purpose: To assess antimicrobial effects of hybrid hydrogel implants containing gold nanoparticles and albucide and developed for reconstructive surgery in the orbit and periorbital area. Material and Methods: A 30% aqueous solution of albucide was used in the study. Antimicrobial activity of synthesized hydrogels was determined using Escherichia coli ATCC 25922, Enterococcus faecalis ATCC 29213, Staphylococcus aureus ATCC 25923 and Pseudomonas aeruginosa ATCC 27853 strains. Results: All the synthesized samples of orbital hydrogel implants were sterile. The synthesized hydrogels and hydrogel nanocomposites with incorporated Au nanoparticles demonstrated bacteriostatic effects against E. Coli ATCC 25922, E. Faecalis ATCC 29213, and S. Aureus ATCC 25923 strains, and bactericidal effects against P. Aeruginosa ATCC 27853 strain. This study also demonstrated marked bactericidal effects of hybrid hydrogel implants incorporating both Au nanoparticles and albucide. Conclusion: Orbital hydrogel implants were found to be sterile after being sealed into polypropylene bags and steam sterilized at 121 °C for 20 minutes. Our findings of bacteriostatic and bactericidal effects of the synthesized hydrogels and hydrogel nanocomposites containing Au nanoparticles and albucide against bacterial strains of interest will allow for the absence of, or low probability of bacterial contamination in applications of these hydrogels in implants.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"33 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and pathomorphological changes in the rabbit retina after an injection of various doses of the cytostatic melphalan 注射不同剂量的细胞抑制剂美伐兰后兔视网膜的临床和病理形态学变化
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202354145
N. F. Bobrova, T. A. Sorochynska, S. A. Tronina, T. V. Romanova, N. I. Molachaniuk, O. Iu. Bratishko, A. V. Shylyk
{"title":"Clinical and pathomorphological changes in the rabbit retina after an injection of various doses of the cytostatic melphalan","authors":"N. F. Bobrova, T. A. Sorochynska, S. A. Tronina, T. V. Romanova, N. I. Molachaniuk, O. Iu. Bratishko, A. V. Shylyk","doi":"10.31288/oftalmolzh202354145","DOIUrl":"https://doi.org/10.31288/oftalmolzh202354145","url":null,"abstract":"Background: In recent years, there have been individual reports on intracameral chemotherapy (ICC) for aqueous seeding in retinoblastoma. The effect of melphalan on the structures of the ocular anterior segment (including the cornea, iris and anterior lens capsule) is however, still unknown, since no relevant experimental studies have been carried out so far. Purpose: To experimentally assess the changes in the rabbit anterior segment induced by intracameral injection of various concentrations of the alkylating cytostatic melphalan. Material and Methods: Twelve adult Chinchilla rabbits (22 eyes; age, 5–6 months; weight, 2.5–3 kg) were involved in this experimental study and maintained in the vivarium of the Filatov institute in separate cages under standard conditions. Results: After a 5-µg melphalan injection, corneal and iris changes were reversible and the lens was still clear. With an increase in melphalan concentration in injection solution (to 10, 15 and 20 µg) and time point (to 1 month and 3 weeks) after injection, degenerative changes in some epithelial cells of the iris became irreversible, anterior capsular cataract developed, but the cornea and anterior chamber aqueous remained clear. After a single 20-µg intracameral injection of melphalan, there was depigmentation of the iris, posterior synechia and anterior capsular cataract. Conclusion: Clinical and ultrastructural responses of ocular anterior segment tissue to intracameral melphalan injection depended on the injected dose and time point after injection. Most cells of examined tissues showed the capability to restore their ultrastructure following ceasing of the toxic effect of the drug.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"71 11-12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Memoriam: Valerii Semenovych Ponomarchuk 悼念:瓦列里-谢苗诺维奇-波诺马尔丘克
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202356364
Наталя Храменко
{"title":"In Memoriam: Valerii Semenovych Ponomarchuk","authors":"Наталя Храменко","doi":"10.31288/oftalmolzh202356364","DOIUrl":"https://doi.org/10.31288/oftalmolzh202356364","url":null,"abstract":"It is with deep regret that we share sad news of the passing of Professor Valerii Semenovych Ponomarchuk, Head of the Functional Diagnostics Department at the Filatov Institute of Eye Diseases and Tissue Therapy, Dr Sc (Med) and Merited Doctor of Ukraine, who died on 12 September 2023. Valerii Semenovych was born on June 2, 1948, in Mykolaiv region, Ukraine. After completing his secondary school education, he went on to Odesa Medical School in 1964 which he graduated with Honors to become a medical assistant. After graduating with Honors in General Medicine at the Pirogov Odesa Medical Institute, he began his career as a junior researcher at the Functional Diagnostics Laboratory, the Filatov Institute of Eye Diseases and Tissue Therapy, in 1974. Valerii Semenovych was promoted to senior researcher and head of the Functional Diagnostics Department in 1987, and remained at the head of the department until his death. His first significant academic achievement was defending his Cand Sc (Med) thesis, Loss of Intraocular Pressure Control Secondary to Effects Exerted on Limbic System Structures, in 1981. He defended his doctoral (Dr Sc (Med)) dissertation, Early Functional Changes in the Visual System and the Pathological Mechanisms of These Changes in Autonomic Nervous System Dysfunction, in 1995, and was awarded the title of professor in 1998. Professor Ponomarchuk was academic secretary for the Dissertation Defense Council specializing in ophthalmology, from 1996 to 2006; expert of the State Dissertation Defense Board in clinical medicine, from 2006 to 2012; and expert of the State Commission for Academic Degrees and Titles at the Ministry of Education, Science, Youth and Sport of Ukraine in clinical medicine (surgical disorders), from 2012 to 2014. In 2002, he was elected a Vice-President of the Ukrainian Ophthalmological Society. His research and practical activities were focused on the physiology of vision, early functional diagnosis of disorders of the eye and visual system, and efficacy of treating various eye diseases with low-intensity physical stimuli (e.g., electric stimulation, photic stimulation and muscle stimulation). Professor Ponomarchuk also conducted studies on the effects of autonomic nervous system dysfunction on the eye, and the results of these studies laid down the foundation for a new area of ophthalmology, vegetoophthalmology. He developed various sets of techniques (electrophysiology techniques; studies of the central and peripheral fields of vision, cerebral and ocular circulation, and light sensitivity) for pre-clinical diagnosis of visual system disorders and comprehensive color vision evaluation. These techniques are successfully used at the Filatov institute and many eye centers of Ukraine. Professor Ponomarchuk was an active inventor. In 1988, he began his collaboration with engineers of “Shtorm” Research Institute to develop a number of diagnostic and treatment devices (ophthalmological electric and photic stimulators ","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"79 17-18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postage stamps as a means of propaganda to promote eye examination and vision screening 以邮票作为宣传手段,推广眼科检查及视力普查
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202355962
Ксенія Трояновська, Андрій Король, Оксана Блавацька, І. І. Желтвай
{"title":"Postage stamps as a means of propaganda to promote eye examination and vision screening","authors":"Ксенія Трояновська, Андрій Король, Оксана Блавацька, І. І. Желтвай","doi":"10.31288/oftalmolzh202355962","DOIUrl":"https://doi.org/10.31288/oftalmolzh202355962","url":null,"abstract":"Postage stamps as a means of propaganda to promote eye examination and vision screening","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"231 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Femtosecond laser LenSx–assisted phacoemulsification of mature intumescent cataract 飞秒激光lensx辅助成熟膨胀性白内障超声乳化术
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202351115
Сергій Дмитрієв, Яков Гриценко
{"title":"Femtosecond laser LenSx–assisted phacoemulsification of mature intumescent cataract","authors":"Сергій Дмитрієв, Яков Гриценко","doi":"10.31288/oftalmolzh202351115","DOIUrl":"https://doi.org/10.31288/oftalmolzh202351115","url":null,"abstract":"Background: Phacoemulsification (phaco) of mature intumescent cataract is one of the most difficult to perform anterior eye surgeries. In mature intumescent cataract phaco, the most difficult phase is performing a continuous capsulorhexis which should be as round as possible. The incidence of an anterior capsular tear during capsulorhexis has been reported to range from 0.8 to 5.0% and increases with an increase in cataract density. This is because in dense intumescent cataracts, capsulorhexis tends to extend to the periphery due to high intracapsular pressure. Femtosecond laser–assisted phaco of mature intumescent cataract enables a safe laser-assisted capsulotomy with a substantially reduced risk of intraoperative complications. Because this approach is as yet not widely used in ophthalmology, we aimed to share our experience in the use of femtosecond laser in phacoemulsification of mature and intumescent cataracts. Purpose: To assess the efficacy of femtosecond laser–assisted treatment of mature intumescent cataract. Methods: Sixty-five patients (68 eyes) with mature intumescent senile cataract underwent femtosecond laser-assisted cataract surgery (FLACS) with intraocular lens (IOL) implantation and were involved in this study. Results: In 55 eyes (80.8%), laser capsulotomy of the desired diameter (5.0 mm) was performed completely. In 8 eyes (11.7%), capsular bridges (capsular tissue remnants at the site of laser-assisted cut of the anterior capsule) were seen. In addition, after the laser phase of surgery, 3 eyes (4.4%) showed an irregularly shaped anterior capsular disc due to the failure of the laser to cut through the capsule in several regions. In all study eyes, the IOL was well centered in the bag. Conclusion: In eyes with mature intumescent cataract, it is reasonable to use the femtosecond laser for a safe and accurate anterior capsulorhexis to avoid the severe intraoperative complications (those associated with posterior capsular rapture and vitreous prolapse) that can be seen during manual capsulorhexis.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"278 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135320876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing serum cytokine and immunoglobulin levels in patients with allergic rhinitis and allergic rhinoconjunctivitis before and after treatment supplemented with macromycetes 评估变应性鼻炎和变应性鼻结膜炎患者在治疗前后的血清细胞因子和免疫球蛋白水平
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202352226
Віктор Богданов, Сергій Пухлік, Марія Макарова, Світлана Полякова, Кирило Богданов
{"title":"Assessing serum cytokine and immunoglobulin levels in patients with allergic rhinitis and allergic rhinoconjunctivitis before and after treatment supplemented with macromycetes","authors":"Віктор Богданов, Сергій Пухлік, Марія Макарова, Світлана Полякова, Кирило Богданов","doi":"10.31288/oftalmolzh202352226","DOIUrl":"https://doi.org/10.31288/oftalmolzh202352226","url":null,"abstract":"Background: In recent decades, the prevalence of allergic rhinitis (AR) has been increasing all over the world including Ukraine. Allergic rhinoconjunctivitis (ARC) is one of the most common clinical forms of AR. An imbalance between pro-inflammatory and anti-inflammatory cytokines is known to have a key role in allergic inflammation. Purpose: To compare cytokine and immunoglobulin levels among patients with AR and ARC treated with different therapeutic options. Material and Methods: Forty patients with AR and ARC (age range, 20 to 46 years) were included in the study. Disease duration ranged from 6 months to 2 years. Patients were divided into two subgroups of 20 patients each. Patients of subgroup 1 received the basic therapy (a 10-mg loratadin tablet daily and mometasone furoate nasal spray at a dosage of 200 μg once daily), whereas patients of subgroup 2, the basic therapy plus polypore macromycetes (Astmagan), one capsule twice daily. Treatment course duration was 90 days. The control group was composed of 25 healthy individuals. A comprehensive clinical immunological examination was conducted at baseline and on the completion of the treatment course. Enzyme-linked immunosorbent assay kits were used to determine serum levels of immunoglobulins A (IgA), IgM, IgG, and IgE, and cytokines (gamma interferon (IFN-γ) and IL4). Results: At baseline, serum levels of IgA, IgM and IgE were almost twice as high (р = 0.0008; 0.0005; and 0.0001, respectively); IgG, 1.2 times higher (р = 0.001); pro-inflammatory cytokine IL4, 3.5 times higher (р = 0.0001); and anti-inflammatory cytokine IFN-γ, 2.4 times lower (р = 0.0001) in patients with AR and ARC compared to controls, and these differences were significant. Astmagan, when used as an adjunct to the basic treatment of AR and ARC, contributed to 8%, 17%, 16.2%, 7.3% and 6.0% greater decreases in the serum levels of IgA, IgM, IgE, IgG and IL4, respectively, and a 16.6% greater increase in the serum level of IFN-γ compared to the basic treatment only, and these differences were significant, with an improvement in immune response to therapy.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"323 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135320490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disorders of aqueous humor flow in the posterior part of the eye in the mechanisms of optic nerve damage development (literature review) 眼后部房水流动紊乱在视神经损伤发展机制中的作用(文献综述)
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202354652
Н. М. Мойсеєнко
{"title":"Disorders of aqueous humor flow in the posterior part of the eye in the mechanisms of optic nerve damage development (literature review)","authors":"Н. М. Мойсеєнко","doi":"10.31288/oftalmolzh202354652","DOIUrl":"https://doi.org/10.31288/oftalmolzh202354652","url":null,"abstract":"The study based on the literature search revealed that the peculiarities of fluid circulation in the posterior part of the eye have been studied insufficiently compared to the anterior part. It is suggested that the retina and optic nerve have their own cleansing system, which functions independently or in interaction with the brain's cleansing system. Of interest is the theory of the glymphatic system of the eye, which probably functions similarly to the glymphatic system of the brain, has four segments and ensures the exchange between intraocular, intracranial and interstitial fluids and the removal of metabolic waste products in the posterior part of the eye. Purpose. To determine the disorders of fluid circulation in the posterior part of the eye in the mechanisms of optic nerve damage development according to the literature. Methods: literature search of 48 sources. It is important to understand that the optic nerve under normal conditions passes a large amount of fluid from the eye to the brain and vice versa. The balance of perfusion (and, presumably, reperfusion in case of pathology) is ensured by the lamina cribrosa, the location of subarachnoid spaces in different parts of the nerve, and the AQP4 channels that support them. The question is whether the optic nerve has its own separate glymphatic system, or whether it interacts with the glymphatic system of the brain. It also remains unclear how the circulation of intraocular fluid, interstitial fluid of the retina and brain, and cerebrospinal fluid in the optic nerve is coordinated with blood, as well as with fluctuations in atmospheric pressure. Although this theory has not yet been recognized, it nevertheless has many supporters who explain optic nerve damage as a result of fluid circulation disturbances. The slowing of fluid flow, as well as the slowing of axonal transport, can be considered as the moment when neuropathy transforms into optic atrophy. That is why the study of the peculiarities of fluid flow and exchange in the posterior part of the eye is important when studying diseases of the optic nerve, whereas the correction of such circulation disorders could be used for therapeutic purposes. Conclusion. Impaired fluid circulation in the posterior part of the eye can occur in mechanisms of optic nerve damage. Improved diagnostics with the ability to assess hydrodynamics will help to understand the role of individual components, while their correction will likely contribute to the optic nerve recovery.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"299 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135321534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area 含金纳米颗粒和硬晶石的水凝胶植入物的抗菌效果,并开发用于眼眶和眶周区域重建手术
4区 医学
Journal of Ophthalmology Pub Date : 2023-11-01 DOI: 10.31288/oftalmolzh202353440
Сергій Зябліцев, Вадим Водяник
{"title":"Antimicrobial effects of hydrogel implants incorporating gold nanopartucles and albucide and developed for reconstructive surgery in the orbit and periorbital area","authors":"Сергій Зябліцев, Вадим Водяник","doi":"10.31288/oftalmolzh202353440","DOIUrl":"https://doi.org/10.31288/oftalmolzh202353440","url":null,"abstract":"Background: It is important to develop orbital hydrogel implants capable of depositing drugs (particularly, antimicrobial and anticancer drugs). Purpose: To assess antimicrobial effects of hybrid hydrogel implants containing gold nanoparticles and albucide and developed for reconstructive surgery in the orbit and periorbital area. Material and Methods: A 30% aqueous solution of albucide was used in the study. Antimicrobial activity of synthesized hydrogels was determined using Escherichia coli ATCC 25922, Enterococcus faecalis ATCC 29213, Staphylococcus aureus ATCC 25923 and Pseudomonasa eruginosa ATCC 27853 strains. Results: All the synthesized samples of orbital hydrogel implants were sterile. The synthesized hydrogels and hydrogel nanocomposites with incorporated Au nanoparticles demonstrated bacteriostatic effects against E. Coli ATCC 25922, E. Faecalis ATCC 29213, and S. Aureus ATCC 25923 strains, and bactericidal effects against P. Aeruginosa ATCC 27853 strain. This study also demonstrated marked bactericidal effects of hybrid hydrogel implants incorporating both Au nanoparticles and albucide. Conclusion: Orbital hydrogel implants were found to be sterile after being sealed into polypropylene bags and steam sterilized at 121 °C for 20 minutes. Our findings of bacteriostatic and bactericidal effects of the synthesized hydrogels and hydrogel nanocomposites containing Au nanoparticles and albucide against bacterial strains of interest will allow for the absence of, or low probability of bacterial contamination in applications of these hydrogels in implants.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"226 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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