МODIFIED CROSS-LINKING IN THE TRЕATMENT OF ADVANCED PURULENT CORNEAL ULCER. СLINICAL CASE
Purpose: To describe the clinical case of advanced purulent corneal ulcer successfully treated with modified cross-linking (M-CXL). Key points: A developed purulent corneal ulcer augmenting from the center to the limb with stromal lysis in the zone of keratotomy incisions gradually progressed despit...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Ophthalmology Publishing Group
2017-10-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/401 |
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| Summary: | Purpose: To describe the clinical case of advanced purulent corneal ulcer successfully treated with modified cross-linking (M-CXL). Key points: A developed purulent corneal ulcer augmenting from the center to the limb with stromal lysis in the zone of keratotomy incisions gradually progressed despite active conservative treatment during 1 month. After 2 sessions of modified PACK-CXL performed with simultaneous frequent instillations of preservant-free moxifloxacin eye drops, the purulent process and corneal lysis was successfully stopped. It allowed to perform optical penetrating keratoplasty in the non-inflamed eye and use smaller graft diameter. Conclusion: M-CRL demonstrated an excellent therapeutic effect — rapid resorption of active purulent infiltration and suppression of purulent corneal melting. This allowed to avoid emergency keratoplasty and to conduct it as a planned operation. M-CXL can become a promising method of treating purulent corneal ulcers in the absence of the effect of drug therapy, and also be used as a preparation for keratoplasty surgery to reduce the severity of inflammation and the risk of infection recurrence in the postoperative period. |
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| ISSN: | 1816-5095 2500-0845 |