[Laser-induced damage to the cornea after YAG laser surgery of anterior segment structures]. / Lazerindutsirovannye povrezhdeniya rogovitsy posle YAG-lazernykh vmeshatel'stv na strukturakh perednego segmenta glaza.
Vestn Oftalmol
; 138(5. Vyp. 2): 266-272, 2022.
Article
en Ru
| MEDLINE
| ID: mdl-36287166
Laser photodestruction (LPD) of tissues is the basis of modern laser reconstructive surgery in ophthalmology. The most common laser technologies based on LPD mechanisms include YAG laser capsulotomy (discission) (LD) of secondary cataract and YAG laser iridectomy (LIE) for glaucoma. Laser reconstructive interventions for secondary cataract, as well as LIE, have a number of advantages over traditional surgery, but at the same time are associated with the risk of complications, including in the cornea. Corneal endothelium is the most susceptible to laser damage, while Descemet's membrane and corneal stroma are injured less often. This review describes cases of iatrogenic perforation and purulent inflammation of the cornea. In the long-term, laser interventions can lead to bullous keratopathy and corneal graft rejection. At this time, the most popular and available among the methods for assessing the cornea after YAG laser interventions is the method of specular microscopy. Ultrasound biomicroscopy is used less commonly. The modern method of corneal confocal microscopy is practically not used for this purpose, and taking into account the risks of developing laser-induced injuries, it indicates its relevance and the need for further research.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Terapia por Láser
/
Láseres de Estado Sólido
/
Opacificación Capsular
Límite:
Humans
Idioma:
Ru
Revista:
Vestn Oftalmol
Año:
2022
Tipo del documento:
Article
País de afiliación:
Rusia
Pais de publicación:
Rusia