Shevchyk V. Surgical treatment's optimization of patients with penetrating corneal injuries

Object: Penetrating corneal injuries. Purpose: To increase the efficacy of patient's surgical treatment with penetrating corneal injuries used full-thickness sutures by the developed algorithm. Methods: ophthalmological, morphological, and statistical. For the first time it was found that the application of corneal full-thickness sutures cutting allowed restore all architectonics of the injured corneal layers, stimulated the functional activity of cells and reparative functions of anterior and posterior endothelial cell and also activated the regenerative processes in keratocytes throughout all corneal stroma thickness. The model of penetrating injury of the cornea that max close to real conditions of traumatic injuries was developed and also methods of quantifying the quality of the formed scar the cornea.The new method of primary surgical treatment of penetrating corneal injury was worked out too, consisted of full-thickness corneal sutures from the periphery to the center with differentiated length and the distance between them. Its use can decrease the amount area of the scar opacities in 3 times in adult and 3,8 times in children, to avoid the anterior synechiae formation and decrease in 2.4 times the degree of posttraumatic corneal astigmatism. Results have been introduced at the SI "Filatov Institute", the Chernihiv Regional Hospital, Transcarpathian Regional Hospital, Vinnitsa Regional Clinical Hospital. Sphere of use - medicine, ophthalmology.