Method of treating postoperative corneal erosions following pterygium removal

FIELD: medicine.

SUBSTANCE: treating postoperative corneal erosions following pterygium removal. That is ensured by postoperative instillations of drug preparations for corneal erosion. Additionally, the final stage of pterygium removal operation involves administering ozone-oxygen mixture in the concentration of 2 mg/l in an amount of 0.5 ml subconjunctivally. The injection is repeated in the same concentration and amount on the following postoperative day. The method increases the operation effectiveness by reducing postoperative complications and negative symptoms in the patient, including by a compensatory increase of antioxidant enzyme activity, reducing tissue and recovering metabolic processes in the involved tissues, reducing a probability of coarse cicatrisation in the operation region.

EFFECT: method is easy and accessible to implement.

1 ex

 

The invention relates to medicine, namely to ophthalmology, and can be used for the treatment of pterygium II-IV degree, including recurrent, with ozone-oxygen mixture.

There is a method of treatment of postoperative corneal erosion after removal of pterygium (G. N. Dushin and other "Surgical treatment of pterygium" / Actual problems of ophthalmology, Moscow, 2009, S. 348-349), which consists in performing installations in the postoperative period after surgery to remove a pterygium drugs for the treatment of postoperative erosion of the cornea.

The disadvantage of this method of treatment is the presence of pain in a long time, on average, 10 days, maybe more depending on the size of pterygium and, accordingly, the area subjected to surgical intervention, expressed corneal syndrome: watery eyes, photophobia, causing blepharospasm in operated patients. In the known method a very long period of epithelization of the cornea and increased recovery time and rehabilitation of the patient in the postoperative period.

The present invention solves the problem of increasing the efficiency of operations by reducing postoperative complications and negative symptoms has been operated on the patient, i.e. in increasing the quality characteristics of the treatment. The technical result consists primarily in a compensatory increase in the activity of antioxidant enzymes superoxide dismutase, catalase and glutathione peroxidase, which explains the antioxidant effect of ozone reduces the degree of tissue hypoxia and restores metabolic processes in diseased tissue at the site of inflammation. In response to the introduction of the ozone-oxygen mixture through the gradual admission of oxygen into the area of inflammation and oxidation algogen-mediators generated at the site of tissue damage that occurs stable anti-inflammatory and analgesic effect. In addition, there is an ozone-oxygen mixture enhances the effects of other drugs that helps in the healing wound surface and shortens the postoperative treatment and rehabilitation of patients. This method reduces the likelihood of rough scarring in the operating area, preventing including degenerative processes in the cornea. The method is simple and available.

This technical result of treatment of postoperative corneal erosion is achieved by the fact that in the treatment of postoperative corneal erosion after removal of the pterygium, which consists in performing post-installation drugs for treatment on reoperations erosion of the cornea, additionally, at the final stage of the operation to remove the pterygium enter subkonyunktivalno ozone-oxygen mixture at a concentration of 2 mg/l in 0.5 ml and repeat the injection of the same concentration and in the same amount the next day after the operation.

Method for the treatment of postoperative corneal erosion after removal of the pterygium is as follows.

At the final stage of the operation to remove the pterygium enter subkonyunktivalno ozone-oxygen mixture at a concentration of 2 mg/l in the amount of 0.5 ml On the next day after surgery, repeat the injection of the same concentration and in the same amount.

Clinical example

Patient P., 1949 birth, outpatient map No. 345521.

DS - pterygium III degrees, when viewed from the medial side of the observed distribution of the pterygoid Maidenhead to the pupillary zone. The patient underwent surgery to remove the pterygium by way Mac Reynolds. At the final stage of the operation to remove the pterygium subkonyunktivalno introduced a solution of ceftazidime 50 mg. In a separate syringe subkonyunktivalno introduced an ozone-oxygen mixture at a concentration of 2 mg/l in the amount of 0.5 ml At day 2 after the operation repeated the injection of the same concentration and in the same amount. Corneal syndrome is absent. Control examination was held in 2 weeks. The eye is at peace, postoperative erosion completely epithelization.

Method for the treatment of postoperative corneal erosion after removal of the pterygium, which consists in performing post-installation drugs for treatment erosion of the cornea, characterized in that additionally at the final stage of the operation to remove the pterygium enter subkonyunktivalno ozone-oxygen mixture at a concentration of 2 mg/l in 0.5 ml and repeat the injection of the same concentration and in the same amount the next day after surgery.



 

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2 tbl, 2 ex

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