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Biomedical subjects

A E Babushkin

Publications and source records attributed to A E Babushkin.

At least 19 recordsLinked to original sources

[A method for forming a conjunctival flap in trabeculectomy].

The paper describes results after trabeculectomy using 4 variants of conjunctival flap formation. The influence of the method of conjunctival flap formation on the formation of the filtration cushion as well as a hypotensive effect of the operation are analysed. The method was used in 80 patients (83 eyes) with primary open-angle glaucoma. It was found that a traditional method of conjunctival flap formation (with the basis to the limbus), as compared with the non-traditional ones (with the basis to the fornix and a radial one), creates better conditions for the formation of the optimal filtration cushion and provides a stable hypotensive effect of trabeculectomy (87.5%).

Aged↗

[The filtration "pseudopad"].

Among 10 patients with primary open-angle glaucoma with a filtration "pseudo-cushion" that prevented compensation of intraocular pressure after trabeculectomy, normalization of intraocular pressure by means of medicamentous treatment (thymolol) could be achieved in 1 patient; in the rest of the patients surgical intervention was required. It is stated that the most effective is early surgical intervention: dissection of the Tenon's capsule "cyst" and resection of the episclera in the zone of the primary surgery.

Female↗

[Ultraviolet irradiation of blood in combined treatment of traumatic endophthalmitis].

Thirty-five patients (35 eyes) with traumatic endophthalmitis were treated. Ultraviolet exposure of autoblood was used in 16 patients, the rest 19 were treated routinely (antibiotics, etc.). Use of ultraviolet exposure of the blood in combined therapy of traumatic endophthalmitis more rapidly (12.6 vs. 22.1 days) and effectively (93.7 vs. 68.4%) arrested intraocular infection and more often preserved the objective vision (31.3 vs. 10.5%).

Adolescent↗

[Contusion ruptures of the cornea after radial keratotomy].

Eleven cases with corneal ruptures along keratotomic cicatrices after severe contusions are analyzed and one case is described in detail. These cases evidence a high probability of parting of keratotomic incision because of eyeball contusion. Contusion injuries of the eyes previously subjected to radial keratotomy are characterized by extremely severe clinical course and outcomes with poor functional results. Coarse alterations of ocular membranes, observed clinically and morphologically, lead to development of pronounced posttraumatic uveitis. This dictates special care in carrying out primary surgical treatment, massive antiinflammatory and resolving therapy. The outcome of such injuries depends mainly on the number of corneal cicatrices after keratotomy and on the direction of contusion.

Adult↗

[Treatment of chlamydial conjunctivitis].

A new method for treating chlamydial conjunctivitis consists in injections of ciprofloxacine for intravenous injections, which is injected (1 ml) under the inferior vault of the conjunctiva on novocaine pad (0.5 ml 0.5% solution) and intravenously by drip infusion (99 ml) twice daily for 7-10 days. The treatment led to clinical cure in all patients, no relapses were observed. This method ensures a high therapeutic effect and accelerates the recovery of patients with chlamydial conjunctivitis by 4.6 days. The method is recommended for patients with complicated forms of chlamydial conjunctivitis in severe and protracted cases with concomitant urogenital chlamydial infection and concomitant chronic gastrointestinal diseases, when oral antibiotic therapy is undesirable or precluded.

Anti-Infective Agents↗

[Study of the effectiveness of ultraviolet irradiation of blood in the treatment of traumatic uveitis].

Sixty-five patients (65 eyes) with traumatic uveitis were treated. Ultraviolet irradiation of autoblood was included in therapeutic complexes of 28 patients. 37 patients received traditional therapy (corticosteroids, nonsteroid inflammatory agents, etc.). Addition of UV exposure of autoblood to combined therapy for traumatic uveitis more effectively (92.9 vs. 75.7%) and sooner liquidated posttraumatic inflammatory reaction (8.10 +/- 1.5 vs. 12.7 +/- 1.7 days), decreased the hospital stay (11.0 +/- 2.0 vs. 15.8 +/- 1.3 days), and eventually more often improved the visual acuity (in 42.9 vs. 24.3% patients). Hence, UV exposure of autoblood is an effective, safe, and virtually atraumatic method of treatment.

Adolescent↗

[The influence of the fixation of the scleral flap on the hypotensive effect of trabeculectomy].

The author analyzes 60 trabeculectomies with fixation of the superficial scleral flap by three nodular sutures (n = 24) and by one nodular suture (n = 36). He comes to the conclusion that trabeculectomy with scleral flap fixation by one nodular suture is preferable to its fixation with three sutures, for it creates better conditions for the formation of filtration pad and provides a more stable hypotensive effect, as evidenced by the results of three-year follow-up (75% vs. 41.6%). Nonetheless the author claims that fixation of the scleral flap with 3-4 sutures is desirable in cases when filtering trabeculectomy variants are deliberately employed or when trabeculectomy modifications with uveoscleral discharge stimulation are used.

Aged↗