Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case
Objective. To present the results of successful treatment of a patient with corneal lesions caused by Acanthamoeba spp. receiving long-term conservative treatment.Methods. A child with corneal ulcer of mixed etiology with a history of wearing orthokeratology lenses and long-term ineffective treatmen...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2024-04-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/2308 |
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| author | E. Yu. Markova A. E. Nikitina D. Ya. Navruzalieva D. Yu. Maychuk A. V. Golovin M. R. Taevere |
| author_facet | E. Yu. Markova A. E. Nikitina D. Ya. Navruzalieva D. Yu. Maychuk A. V. Golovin M. R. Taevere |
| author_sort | E. Yu. Markova |
| collection | DOAJ |
| description | Objective. To present the results of successful treatment of a patient with corneal lesions caused by Acanthamoeba spp. receiving long-term conservative treatment.Methods. A child with corneal ulcer of mixed etiology with a history of wearing orthokeratology lenses and long-term ineffective treatment in Moscow hospitals was referred to Moscow in S.N. Fyodorov Eye Microsurgery Federal State Institution. The patient underwent a complete ophthalmological examination, including confocal microscopy.Results. The condition of the child’s eye was extremely severe, live and dead cysts of Acantamoeba spp were found in the central zone of the cornea at the depth of 113–149 μm, Along with intensive conservative treatment with catheterisation of the retrobulbar space and introduction of drugs into the irrigation system, UV corneal crosslinking was performed twice.Conclusion. Treatment according to the proposed method allowed to achieve excellent results: there was no corneal syndrome, complete epithelialisation of the corneal defect, disappearance of corneal edema and remission of uveitis manifestations. According to the data of confocal microscopy there is no growth of microflora and acanthamoeba cysts. |
| format | Article |
| id | doaj-art-815f129f5c6e42f5831a2e17a2ecbb5c |
| institution | Kabale University |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2024-04-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-815f129f5c6e42f5831a2e17a2ecbb5c2025-08-20T03:38:18ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452024-04-0121117217710.18008/1816-5095-2024-1-172-1851127Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical CaseE. Yu. Markova0A. E. Nikitina1D. Ya. Navruzalieva2D. Yu. Maychuk3A. V. Golovin4M. R. Taevere5S.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthS.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthS.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthS.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthS.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthS.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of HealthObjective. To present the results of successful treatment of a patient with corneal lesions caused by Acanthamoeba spp. receiving long-term conservative treatment.Methods. A child with corneal ulcer of mixed etiology with a history of wearing orthokeratology lenses and long-term ineffective treatment in Moscow hospitals was referred to Moscow in S.N. Fyodorov Eye Microsurgery Federal State Institution. The patient underwent a complete ophthalmological examination, including confocal microscopy.Results. The condition of the child’s eye was extremely severe, live and dead cysts of Acantamoeba spp were found in the central zone of the cornea at the depth of 113–149 μm, Along with intensive conservative treatment with catheterisation of the retrobulbar space and introduction of drugs into the irrigation system, UV corneal crosslinking was performed twice.Conclusion. Treatment according to the proposed method allowed to achieve excellent results: there was no corneal syndrome, complete epithelialisation of the corneal defect, disappearance of corneal edema and remission of uveitis manifestations. According to the data of confocal microscopy there is no growth of microflora and acanthamoeba cysts.https://www.ophthalmojournal.com/opht/article/view/2308corneal ulceriridocyclitisacanthamoebaconfocal microscopyretrobulbar catheterisationuv crosslinking |
| spellingShingle | E. Yu. Markova A. E. Nikitina D. Ya. Navruzalieva D. Yu. Maychuk A. V. Golovin M. R. Taevere Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case Oftalʹmologiâ corneal ulcer iridocyclitis acanthamoeba confocal microscopy retrobulbar catheterisation uv crosslinking |
| title | Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case |
| title_full | Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case |
| title_fullStr | Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case |
| title_full_unstemmed | Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case |
| title_short | Modern Approaches in the Diagnosis and Treatment of Corneal Lesions in Children. Clinical Case |
| title_sort | modern approaches in the diagnosis and treatment of corneal lesions in children clinical case |
| topic | corneal ulcer iridocyclitis acanthamoeba confocal microscopy retrobulbar catheterisation uv crosslinking |
| url | https://www.ophthalmojournal.com/opht/article/view/2308 |
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