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Yusef Yu.N.
Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Aslamazova A.E.
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Laser-induced damage to the cornea after YAG laser surgery of anterior segment structures
Journal: Russian Annals of Ophthalmology. 2022;138(5‑2): 266‑272
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To cite this article:
Yusef YuN, Gamidov AA, Medvedeva EP, Surnina ZV, Aslamazova AE. Laser-induced damage to the cornea after YAG laser surgery of anterior segment structures. Russian Annals of Ophthalmology.
2022;138(5‑2):266‑272. (In Russ.)
https://doi.org/10.17116/oftalma2022138052266
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.
Keywords:
Authors:
Yusef Yu.N.
Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Aslamazova A.E.
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Received:
24.10.2021
Accepted:
31.03.2022
List of references:
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