THE ALGORITHM OF RECOVERY OF VISUAL FUNCTIONS IN PATIENTS WITH SEVERE BURNS THE EYES

Objective: to assess long-term results of keratoprothesis after strengthening corneal leucome set by our technigue together with developed individual plan for long-term management of patients with burn injury. Materials and methods. The first observation group includes patients who were operated keratoprothesisonly in one or two stages (38 patients). The second group observation includes patients who were operated by our fixed algorithm of prior strengthening corneal leukome (24 ceses). In addition to direct keratoprothesis was done a number of operations on individual rehabilitation plan for each patient. Was held the primary (delayed) surgical necrectomy with revascularization on 55 eyes, fornix reconstruction, eyelid reconstructions on 64 eyes, planned lamellar or penetrating keratoplasty on 6 eyes, antiglaucomatous surgery on 49 eyes, preliminary strengthening of corneal leukoma with on 49 eyes, preliminary strengthening of the leukoma with autologous ear cartilage on 44 eyes). Results of the study. The implementation of multi-stage keratoprothesis which was made by our fixed algorithm with conduction of previous operations by the individualplan reduce the frequency of postoperative complications in different percents. There wasn’t cases of aseptic necrosis and protrusion of keratoprothesis. Conclusion. Patient, that suffered from severe eye burns need long-term therapy, success and stability of the result depends on undivided plan treatment and making mylty-stegykeratoprotesis (bibliography: 9 refs).

autologous ear cartilage, automucosa graft, aseptic necrosis, eye burn, keratorosthesis