ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2014-1-79-83ophthalmology-42Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCASE REPORTФемтолазерная кератопластика у ребенка с помутнением роговицы. Клинический случайFemtosecond laser-assisted keratoplasty in a child with corneal opacity:case reportМарковаЕ. Ю.MarkovaE. Yu.ОвчинниковаА. В.Ovchinnicova1A. V.ТруфановС. В.TruphanovS. V.ГБУЗ г. Москвы Морозовская ДГКБ, Департамент здравоохранения г. МосквыРоссияState Budget Healthcare Institution, Morozov Pediatric City Clinical Hospital of the Moscow Healthcare DepartmentRussian FederationФГБУ НИИ ГБ РАМН , Российская ФедерацияРоссияResearch Institute of Eye Diseases, Russian Academy of Medical SciencesRussian Federation2014090720141117983Copyright © Маркова Е.Ю., Овчинникова А.В., Труфанов С.В., 20142014Маркова Е.Ю., Овчинникова А.В., Труфанов С.В.Markova E.Y., Ovchinnicova1 A.V., Truphanov S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/42

Помутнения роговицы являются четвертой по счету причиной слепоты в мире. Вот уже два века люди развивают и совершенствуют различные техники кератопластики — операции по замещению мутной роговицы прозрачным трансплантатом. На сегодняшний день одним из самых перспективных направлений в этой области является фемтолазерная кератопластика. Фемтосекундный лазер обладает рядом свойств, которые значительно расширяют возможности офтальмохирургии: отсутствие теплового эффекта, формирование плоскости разреза в толще тканей, возможность создавать роговичные профили любой сложности. Учитывая, что проблема заболеваний роговицы обладает неоспоримой актуальностью для пациентов детского возраста, а случаи фемтолазерной кератопластики у детей единичны, мы описываем клинический опыт фемтолазерной кератопластики у девочки с грубым центральным помутнением роговицы.

Corneal opacities are the fourth cause of blindness world-wide. Over the past two centuries, various corneal transplantation (i.e., keratoplasty) methods have been developed and improved. Nowadays, femtolaserssisted keratoplasty is one of most promising techniques. Femtosecond laser have several advantages that provide additional surgical benefits. Among them, no thermal injury, the ability to cut deeply on a single plane and to perform various corneal profiles should be mentioned. In children, corneal disorders are of special importance while femtosecondassisted keraatoplasty case reports are rare. Here, we describe femtosecond laserssisted penetrating keratoplasty in a girl with a rough central corneal opacity.

роговицакератопластикафемтолазердетиcorneakeratoplastyfemtolaserchildrenReferencesSerge Resnikoff, Donatella Pascolini, Daniel Etya’ale et al., Global data on visual impairment in the year 2002. Bulletin of the World Health Organization; November 2004, 82 (11).Serge Resnikoff, Donatella Pascolini, Daniel Etya’ale et al., Global data on visual impairment in the year 2002. Bulletin of the World Health Organization; November 2004, 82 (11).John V. Forrester, Lucia Kurrova, University or Aberdeen Medical School; Corneal transplantation: an immunological guide to the clinical problem; Imperial College Press: London, 2004.John V. Forrester, Lucia Kurrova, University or Aberdeen Medical School; Corneal transplantation: an immunological guide to the clinical problem; Imperial College Press: London, 2004.A. V. Pleskova [Through keratoplasty at the opacification of a cornea at children: subjective, objective and information bases]. Skvoznaya keratoplastika pri pomutneniyah rogovitcy u detei: subyektivnye, obyektivnye I informacionnye osnovaniya; Rossiyskaya Pediatricheskaya Ophtalmologiya. [Russian pediatric ophthalmology] 2009; 2:55‑56. [in Russ.]A. V. Pleskova [Through keratoplasty at the opacification of a cornea at children: subjective, objective and information bases]. Skvoznaya keratoplastika pri pomutneniyah rogovitcy u detei: subyektivnye, obyektivnye I informacionnye osnovaniya; Rossiyskaya Pediatricheskaya Ophtalmologiya. [Russian pediatric ophthalmology] 2009; 2:55‑56. [in Russ.]A. V. Hvatova, A. V. Pleskova [Current state of a keratoplasty at children]. Sovremennoe sostoyanie problem keratoplastiki u detei; Vestnik ophtalmologii [Annals Ophthalmology]. 1998; (1): 52‑56. [in Russ.]A. V. Hvatova, A. V. Pleskova [Current state of a keratoplasty at children]. Sovremennoe sostoyanie problem keratoplastiki u detei; Vestnik ophtalmologii [Annals Ophthalmology]. 1998; (1): 52‑56. [in Russ.]N. V. Dushin, M. A. Frolov, P. A. Gonchar [Keratoplasty in treatment of eyes’ s diseases (optical, refraction, medical, cosmetic). Keratoplastika v lechenii zabolevaniy glaz (opticheskaya, refrakcionnaya, lechebnaya, kosmeticheskaya). Rossiyskiy Universitet Druzby Narodov, Moskva. [Russian University of the People’s Friendship 2008]. [in Russ.]N. V. Dushin, M. A. Frolov, P. A. Gonchar [Keratoplasty in treatment of eyes’ s diseases (optical, refraction, medical, cosmetic). Keratoplastika v lechenii zabolevaniy glaz (opticheskaya, refrakcionnaya, lechebnaya, kosmeticheskaya). Rossiyskiy Universitet Druzby Narodov, Moskva. [Russian University of the People’s Friendship 2008]. [in Russ.]Franz Fankhauser, Sylwia Kwasniewska, (eds.) Lasers in ophthalmology: basic, diagnostic and surgical aspects. A rewiew. Kugler Publications: The Hague (The Netherlands). 2003.Franz Fankhauser, Sylwia Kwasniewska, (eds.) Lasers in ophthalmology: basic, diagnostic and surgical aspects. A rewiew. Kugler Publications: The Hague (The Netherlands). 2003.F. Dausinger, F. Lichtner, H. Lubatschowski (eds.); Femtosecond technology for technical and medical applications; Springer-Verlag Berlin Heidelberg. 2004F. Dausinger, F. Lichtner, H. Lubatschowski (eds.); Femtosecond technology for technical and medical applications; Springer-Verlag Berlin Heidelberg. 2004L. Buzonetti, G. Petrocelli, P. Valente; Big-bubble deep anterior lamellar keratoplasty assisted by femtosecond laser in children. Cornea 2012 Sep. 31 (9): 1031‑6. S. E.L. Buzonetti, G. Petrocelli, P. Valente; Big-bubble deep anterior lamellar keratoplasty assisted by femtosecond laser in children. Cornea 2012 Sep. 31 (9): 1031‑6. S. E.Avetisov, L. K. Moshetova, V. V. Neroev, K. P. Tahchidi (eds.) [Ophthalmology: national management]. Ophtalmologia: natcionalnoe rukovodstvo; Moskva: GEOTARMedia, 2008, 471‑81; [in Russ.]Avetisov, L. K. Moshetova, V. V. Neroev, K. P. Tahchidi (eds.) [Ophthalmology: national management]. Ophtalmologia: natcionalnoe rukovodstvo; Moskva: GEOTARMedia, 2008, 471‑81; [in Russ.]S. E. Avetisov, V. R. Mamyconian, S. V. Truphanov, (eds.) [The selective principle of modern approaches in a keratoplasty]. Selektivnyj princip sovremennyh podhodov v keratoplastike. Vestnik ophtalmologii. [Annals Ophthalmology] 2013;5:97‑103. [in Russ.].S. E. Avetisov, V. R. Mamyconian, S. V. Truphanov, (eds.) [The selective principle of modern approaches in a keratoplasty]. Selektivnyj princip sovremennyh podhodov v keratoplastike. Vestnik ophtalmologii. [Annals Ophthalmology] 2013;5:97‑103. [in Russ.].M. D. Pozharitskiy, V. N. Trubilin. [Femtolasik]. Femtolasik. М:, April, 2012 [in Russ.]M. D. Pozharitskiy, V. N. Trubilin. [Femtolasik]. Femtolasik. М:, April, 2012 [in Russ.]

The authors declare that there are no conflicts of interest present.