Experience of therapeutic eyelid hygiene products use in patients with anophthalmia after eyeball injury

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Abstract

BACKGROUND: One of the purposes of ocular prosthetics is to prevent the progression of pathological processes in the eyelids and conjunctiva of the anophthalmic socket.

AIM: The aim of this study is to assess the effectiveness of therapeutic eyelid hygiene products: “Blepharowipe”, “Blepharogel cleansing” (Geltek-Medica, Russia), used in the late postoperative and long-term rehabilitation periods, in patients with anophthalmia who lost the eyeball as a result of an injury.

MATERIALS AND METHODS: For the study, 3 main (50 patients) and 3 corresponding control groups (50 patients) were created. The examination of patients included: complaints, medical history; biomicroscopy of the eyelids, the conjunctiva of the anophthalmic socket, and the surface of the ocular prosthesis. In the main groups, therapeutic eyelid hygiene products were used for 8 weeks in combination with regular ocular prosthesis care. In the control groups, eyelid hygiene products were not used. Assessment and analysis of the effectiveness of the products was carried out after 1, 2 and 4 weeks in group I and after 4 and 8 weeks in groups II and III based on the dynamics of patient complaints and objective examination indicators.

RESULTS: In the main groups I and II, there was a positive dynamics: normalization of the state of the eyelids and the conjunctiva of the anophthalmic socket; increasing comfort of an ocular prosthesis wear. In the main group III and in all control groups, no significant positive dynamics was noted.

CONCLUSIONS: The results of using the products included in the course of therapeutic hygiene of the eyelids: “Blepharowipe”, “Blepharogel cleansing” showed high efficiency, and give reason to recommend them in late postoperative and long-term rehabilitation periods in patients with anophthalmia.

About the authors

Nadezhda A. Baranova

Diagnostic Center No. 7 (ophthalmological) for adults and children

Author for correspondence.
Email: baranova-n@bk.ru

ophthalmologist, head Laboratory of Ocular Prosthesis

Russian Federation, Saint Petersburg

Irina A. Senina

Diagnostic Center No. 7 (ophthalmological) for adults and children

Email: i.senina@mail.ru

ophthalmologist

Russian Federation, Saint Petersburg

Oleg A. Frolov

Diagnostic Center No. 7 (ophthalmological) for adults and children

Email: oleg524@mail.ru
ORCID iD: 0000-0002-0162-5454

ophthalmologist, Head of the Center

Russian Federation, Saint Petersburg

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Supplementary files

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2. Fig. 1. Granulomatous caruncles of the conjunctiva of the anophthalmic cavity

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3. Fig. 2. Conjunctival chemosis in a post-op patient

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4. Fig. 3. Chronic blepharitis with crusts along the edge of the eyelids and on the skin: a — before treatment; b — slit-lamp examination before treatment; c — 2 weeks after treatment; d — 2 weeks after treatment with biomicroscopy; e — 8 weeks after treatment

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5. Fig. 4. Complications in case of non-compliance with the eyelid hygiene and ocular prosthesis care: a — “worn-out” ocular prosthesis with debris; b — eyelid entropion due to chronic inflammation and the use of a worn-out ocular prosthesis (more than 10 years); c — contraction of the anophthalmic cavity, blepharoconjunctivitis

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