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Biomedical subjects

E N Verigo

Publications and source records attributed to E N Verigo.

At least 19 recordsLinked to original sources
PubMedDate not supplied

[The diagnostic and surgical characteristics of gunshot nonmagnetic intraocular fragments].

Results of treatment of 42 patients with a magnetic intraocular fragments (balls, pistons, capsules) are analyzed and indications for various surgical interventions for removal of fragments with the minimal injury for the eye are defined. The role of echo diagnosis (together with x-ray diagnosis and computer-aided tomography) in the selection of operative access to a foreign body and, specifically, echolocation on the operative table during surgery is shown. Combination of informative diagnostic methods with advanced surgical technologies helps save the organ and attain functional results in this extremely grave posttraumatic pathology.

Adolescent↗
PubMedDate not supplied

[Potentialities of conservative and surgical treatment of patients with congenital microphthalmia and anophthalmia].

Congenital anophthalmia and microphthalmia were responsible for 1.7-1.8% cases of all cases treated at laboratory of plastic surgery and ocular prostheses. Clinical picture of the condition is described. The philosophy of rehabilitation of patients with congenital anophthalmia and microphthalmia is as follows: 1) no operations during the first years of life; 2) early staged fitting with prostheses; 3) surgical treatment in older age, when the resources of conservative extension of the cavity are exhausted. The authors emphasize that active conservative treatment should be preferred. Method for nonsurgical extension of the conjunctival cavity by staged insertion of prostheses is described. Positive and negative aspects of surgical treatments are discussed. The authors emphasize that surgical activity in early age is extremely harmful. Results of surgical treatment of 27 patients are presented. The patients were divided into 2 groups differing by the tasks of surgery: repair of consequences of previous operations (59.2% cases) and typical correction of the eye lids (40.8%). Clinical examples are offered.

Adolescent↗
PubMedDate not supplied

[Causes, prognosis and prevention of cicatrical corneal astigmatism].

Penetrating wounds of the eyeball in 57-66% cases are associated with corneal involvement leading to the development of cicatricial astigmatism and decrease of the functional results. We investigated the causes of posttraumatic cicatricial corneal astigmatism, possibilities of its prediction, prevention, and correction. The results of treatment of 256 patients with corneal wounds and cicatrices are analyzed. Our analysis confirmed that the severity of astigmatism in corneal wounds directly depends on the wound size, edge status, direction, location, and structure of the forming cicatrix. Adequate and timely primary debridement of the corneal wound with intraoperative keratometric control plays the key role in minimization of cicatricial astigmatism. Early therapy with drugs stimulating the regeneration processes promotes more complete recovery of corneal tissue structure and decrease of astigmatism severity. Timely dosed slackening or removal of sutures makes possible modulation of astigmatism development. A formula is proposed, using which makes it possible, on the basis of initial data on the corneal wound, to estimate the possibility of corneal astigmatism, i.e. predict the outcome of the injury.

Astigmatism↗
PubMedDate not supplied

[Conservative therapy in rehabilitating patients with eye injuries].

The authors offer recommendations on the choice and use of optimal clinically tried drugs in ophthalmic traumatology with consideration for posttraumatic changes, doses, and mechanism of action. The recommendations are based on the clinical observations of 16,000 patients treated at department of ocular injuries, reconstructive surgery, and ocular prosthetics of Helmholtz Institute of Ocular Diseases in Moscow.

Drug Therapy↗
PubMedDate not supplied

[Basic trends in the organization of ocular prosthetics service].

The key issues related with rendering the ocular prosthetic aid to patients with anophthalmos and with cosmetically inferior, i.e. a smaller-size, blind eye, are in the focus of attention. Around 320,000 persons need ocular prostheses in the territory of the Russian Federation, hence adequate prosthetic measures are taken to cope with the cosmetic, medical and social rehabilitation of patients. The ocular prosthetics service deals with issues related with prostheses manufacturing technologies as well as with other therapeutic and surgical aspects which call for working out a unified policy with its subsequent commissioning into the practice of ophthalmologic institutions.

Adult↗
PubMedDate not supplied

[Damage to the vision organ by non-medical lasers].

The offered study is dedicated to an acute ophthalmology issue, i.e. damage to the vision body by irradiation of non-medical lasers used in every-day life, industry and army. A total of 6 patients with damages to the central eye section were analyzed. The results of ultrasound fluorography as well as of electrophysiological examinations are described and conservative therapy schemes are presented. According to a preliminary conclusion, the outcome of the clinical condition can be accompanied by a low and eccentric vision.

Adult↗
PubMedDate not supplied

[Features of diagnosis and clinical course of penetrating injuries of the posterior pole of the eye].

Seventeen patients with penetrating injuries in the posterior pole caused by mechanical trauma of the eye were analyzed clinically; such injuries were characterized by the development of the most severe complications, which led to eye loss. An incomplete sealing of the penetrating trauma of the eye fibrous capsule localized in the posterior sclera section was the main reason that predetermined a trauma outcome; it can be rarely diagnosed and is difficult for surgical treatment. Computer tomography, which makes it possible to detect and localize the discussed pathology, is the most informative method in diagnosing the posterior pole. The organ-saving effect and process stabilization were ensured in 98.5% of patients owing to the use of a set of diagnostic pre- and intraoperative techniques.

Diagnosis, Differential↗
PubMedDate not supplied

[Impact of the quality of surgical treatment of subconjunctival ruptures of the sclera on their outcome].

The paper deals with the analysis of the outcome of severe eye contusion in scleral ruptures that are subject to none or inadequate debridement. In 2004, a group of 85 patients undergone enucleation due to severe posttraumatic changes was examined to analyze the outcomes of misdiagnosis of ruptures of the scleral capsule of the eye in its contusions and penetrating wounds. Examination of the eyeball after its removal revealed different defects of the optic scleral capsule in 6 (8.2%) cases of the 85 patients undergone enucleation. Each case pointing to the undiagnosed pathology of the eye during primary debridement and surgical treatment of these patients or to the partial debridement of scleral wounds is noteworthy. It should be noted that a primary care involving debridement was delivered to virtually all patients in different ophthalmological facilities. The paper gives a detailed account of each case, by describing its history data, the state of the eye, the performed studies and operation, and presents photos demonstrating each case. In eye contusion, it is necessary to adequately evaluate its severity and to reveal the whole complex of injuries and also to pay attention to the quality of debridement of wounds since adequate containment of a wound of the eye and adaptation of its edges can preserve the eye as an organ in most given cases.

Adult↗
PubMedDate not supplied

[A rational method of cosmetic eye prosthesis].

Effective cosmetic rehabilitation of patients with anophthalmia can be activated if methods based on the use of the cosmetic parameters for prostheses, listed below, are employed: (1) eyelid position and relief, (2) eye opening, (3) position of the iris and pupil, (4) diameters of the iris and pupil, (5) position and decline of the prosthesis, (6) depth of the prosthesis position in the orbit, (7) cavity filling with the prosthesis, (8) prosthesis mobility, (9) sclera color, (10) iris color. These prosthetic cosmetic parameters are of paramount importance for effective cosmetic rehabilitation of anophthalmia patients.

Adolescent↗
PubMedDate not supplied

[Orbital ectoprosthesis as a method for rehabilitating anophthalmic patients].

Orbital ectoprosthesis is a method for rehabilitation of anophthalmia patients with severe extensive injuries in the orbital area. Analysis of 1230 case histories has helped define the indications and contraindications to this type of care. Good cosmetic results have been achieved in all the patients.

Anophthalmos↗