Doctors

Category: Our publications

21.06.2018

APPLICATION OF THE DRUG OCOMISTIN IN TREATMENT OF TRAUMATIC AND BACTERIAL AFFECTIONS OF THE CORNEA IN CONTACT CORRECTION

Denisyuk N.B., Melnik V.O. Kiev, Ukraine

There was studied the efficacy of treatment of mechanic and bacterial complications caused by using contact correction. Of 59 observed patients 21 (22 eyes) were revealed to have erosions or superficial keratitis, 38 (63 eyes) – bacterial keratitis. Three schemes of treatment were applied: monotherapy with Ocomistin, monotherapy with Tobrex and combination of these drugs. It is established the expediency of applying Ocomistin in patients with bacterial complications of contact correction in presence of contraindications to the use of antibiotics. Combination of both drugs proved to be the most effective thanks to reinforcement of antibacterial effect of Tobrex under the influence of Ocomistin.

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21.06.2018

Efficacy of combined surgery for primary open-angle glaucoma patients MelnikV.O., GurzhiyO.O., Kots-GotlibN.V., KikotL.V. Modem ophthalmology clinic “Viziobud” ophthalmic branch ofMSIA “Medbud” (Kyiv, Ukraine) This paper presents an assessment of the effectiveness of phaco-emulsification combined with a modified tunnel trabeculopuncture in patients with primary open-angle glaucoma. Level of IOP reduction in early postoperative period and during following 24 month was used to assess the effectiveness of this surgery. This surgery was proved asaneffiicient method of surgical treatment of patients with primary open-angle glaucoma in terms of lasting IOP and glaucoma progression reduction.

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21.06.2018

В. О. Мельник, канд. мед. наук; Н. В. Коц-Готліб, лікар-офтальмолог; Р. Я. Вадюк, канд. мед. наук; О. О. Гуржій, лікар-офтальмолог.

В работе изучена эффективность комбинированного оперативного лечения — факоэмульсификация катаракты и модифицированная тунельнаятрабекулопунктура с имплантацией ИОЛ — у больных с первичной открытоугольной глаукомой. Критериями эффективности данной операции были выбраны уровень внутриглазного давления, показатель средней световой чувствительности и толщинынервных волокон диска зрительного нерва. Наоснованийполеченныхданных можно сделать вывод об эффективности донного вида оперативных вмешательств у больных с первичной открытоугольной глаукомой с точки зрения нормализации внутриглазного давления и

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21.06.2018

Abstract A combined phacoemulsification of a cataract with intraocular lens implantation (IOLІ) and modified tunnel trabeculopuncture (TTP) was performed in the clinic in patients suffering primary open—angle glaucoma. Through 3 years postoperatively intraoculai pressure and a glaucoma compensation degree were controlled in accordance to data obtained while investigation of optic nerve (computer perimetry, optical coheren tomography of neuronal fascicles), and also these results were compared with datа from the patients, to whom a standard TTP was performed. A significant stabk hypotensive effect of the operation proposed was established, as well as termination оfa progressive atrophic changes of optic nerve, caused by glaucoma. Antiglaucoma reoperations after a combined phacoemulsification (IOL) and modified TTP were performed in 6% patients (p<0.05), after combined phacoemulsification with the IOLI anc a standard TTP — in 30% (p<0,05). Key words: primary open—angle glaucoma; atrophy of optic nerve; intraocular pressure; combined operation; tunnel trabeculopuncture.

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21.06.2018

Epiretinalfibrosis: diagnostics and features of treatment

Melnik V, ChichurD., Kapelka R. Kyiv, Ukraine

The presence of epiretinal fibrosis significantly underestimates the visual func¬tion. Subtotal vitrectomy with removal of epiretinal membranes and the internal limiting membrane is a standart approach for this pathology. However, in most cases it requires idditional anti-inflammatory treatment.

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21.06.2018

Evaluation of the effectiveness of the modified combined surgery in patients with primary open-angle glaucoma

Melnik V, KikotL., Kots-Gotlib N. Kyiv, Ukraine

We assessed efficiency of new technique of combined operation in patients with primary open-angle glaucoma. During two-year examination we observed glaucoma com¬pensation in 86% patients after this method of operation without any additive operations or treatment.

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21.06.2018

THE EFFICIENCY OF DEEP NON PENETRATING SCLERECTOMY IN PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA

V.O. Melnik, N.V. Kots-Gotlib, L.V. Kykot, T.I. Stetsula, N.Y. Chav’yak

SUMMARY

The aim of our study was to assess the effectiveness of combined modified deep non penetratingsclerectomy and phacoemulsification of the cataract with intraocular lens implantation in patients with primary open angle glaucoma, who were treated or not treated with antihypertensive drugs. Our results showed that patients who didn’t undergo long-term antihypertensive drugs in primary open angle glaucoma treatment before surgery, had the best score in terms of intraocular pressure compensation and other visual functions compared with patients who were treated with long-term hypotensive drops. Therefore, it’s reasonable to prescribe a preservative-free forms of medication correction of intraocular pressure to achieve a better hypotensive result after glaucoma operation for patients with primary open-angle glaucoma. As such, for patients with primary open-angle glaucoma, having co-morbidity , such as cataract, it’s reasonable to make the earliest combined surgical treatment of cataract and glaucoma.

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21.06.2018

Н. Б. Денисюк, В. О. Мельник Кафедра офтальмології НМАПО ім. П. Л. Шупика, «Центр мікрохірургії ока», м.Київ

Вступ. Лікування глаукоми і профілактика сліпоти є одним з найголовніших завдань сучасної офталь-мології. Основною метою лікування є досягнення так званого толерантного внутрішньоочного тиску, при якому не спостерігається погіршання центрального і периферичного зору пацієнта. При первинній відкритокутовій глаукомі (ПВКГ) зниження внутрішньоочного тиску досягається шляхом застосування гіпотензивних препаратів або хірургічними методами. Лікування глаукоми з використанням місцевих гіпотензивних засобів займає лідируючу позицію в терапії даного захворювання. На жаль, більшість пре-паратів мають ряд побічних ефектів і

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21.06.2018

THE EXPERIENCE OF USING VISCOELASTIC HIARAL AND HIARAL PLUS IN PHACOEMULSIFICATION

Denisyuk N.B., Melnyk V.A. Kiev, Ukraine

We investigated the possibility of using native cohesive viscoelastics Hiaral and Hiaral Plus in phacoemulsifica-tion. Our experience shows that these viscoelastics are effective and safe, have good viscosity, elasticity and cohesive-ness. They don’t increase intraocular pressure and don’t influence on the postoperative central corneal thickness.

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