{"id":11401,"date":"2020-06-28T02:04:42","date_gmt":"2020-06-27T23:04:42","guid":{"rendered":"https:\/\/drborismalyugin.com\/operatsiya\/sochetannaya-hirurgiya-perednego-otrezka-glaza"},"modified":"2020-08-22T21:15:30","modified_gmt":"2020-08-22T18:15:30","slug":"complex-reconstructive-surgery-of-the-eye-anterior-segment","status":"publish","type":"operatsiya","link":"https:\/\/drborismalyugin.com\/en\/operatsiya\/complex-reconstructive-surgery-of-the-eye-anterior-segment","title":{"rendered":"Complex reconstructive surgery of the eye anterior segment"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_middle type_default stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>The eye\u2019s anterior segment is the structure known most often affected by environmental, traumatic, and infectious impacts. This area is one of the most vulnerable, as it is including crucial eye components such as the cornea, iris, and lens.<\/p>\n<p>In cases of severe damage to the anterior segment, visual function restoration is possible only with a combination of several surgical techniques and procedures.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-message color_green with_icon\"><div class=\"w-message-icon\"><i class=\"fas fa-check\"><\/i><\/div><div class=\"w-message-body\"><p>Boris Malyugin is the founder of the Russian school for modern microsurgery in complicated cataract cases, selective keratoplasty techniques, and complex reconstruction of the anterior segment of the eye.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">What are the main features of combined surgery?<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>It is common for patients to have several eye pathologies. For example, some patients may have a combination of cataract and glaucoma; cataract and iris defects; or cataract and vitreous opacity. There are many combinations of problems that require simultaneous and complex reconstructive techniques, performed with an all-in-one approach.<\/p>\n<p>A few decades ago, simultaneous restoration of several eye lesions was almost impossible because of the surgical complexity, and the lack of proper diagnostic and surgical equipment and instruments.<\/p>\n<p>But thanks to the newest microsurgical techniques, the anterior segment of the eye can be effectively reconstructed, even in very severe cases. In the current day, probably the most important barrier is the physician\u2019s lack of surgical experience in handling such complex cases.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">When is combined surgery required?<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Reconstruction of several eye structures at once is done in cases of complex pathology such as:<\/p>\n<ul>\n<li>Congenital malformations.<\/li>\n<li>Chemical injuries and burns.<\/li>\n<li>Inflammatory diseases and their consequences.<\/li>\n<li>Traumatic changes in several structures of the eye.<\/li>\n<li>After intraocular tumour removal.<\/li>\n<li>After previous eye surgery (glaucoma procedures, vitrectomy, etc.).<\/li>\n<li>After previous cataract procedures (aphakia, iol-related problems-dislocation, opacification, exchange, etc.<\/li>\n<\/ul>\n<p>Most often, reconstructive surgeries involve the following eye structures:<\/p>\n<ul>\n<li>Cornea.<\/li>\n<li>Iris.<\/li>\n<li>Natural (cataract) or artificial lens (iol dislocation, etc).<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><section class=\"l-section wpb_row us_custom_938809ae height_auto color_primary\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_middle type_default reversed stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image us_custom_1fd2f432 style_shadow-1 align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"358\" height=\"512\" src=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg 358w, https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3.jpg 601w\" sizes=\"auto, (max-width: 358px) 100vw, 358px\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container has_bg_color stretched\"><div class=\"vc_column-inner us_custom_df02dd93\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_contrast align_center no_text\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><i class=\"fal fa-phone-alt\"><\/i><\/div><\/a><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\">+7 (499) 906-50-01<\/a><\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">You can make an appointment by phone from 8:30 to 19:30 (daily).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Preoperative diagnostics<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>The decision about the best option for surgery is made after thoughtful eye examination using several diagnostic modalities, including:<\/p>\n<ul>\n<li>Visual acuity assessment.<\/li>\n<li>Intraocular pressure measurement.<\/li>\n<li>Visual field examination.<\/li>\n<li>Eye biomicroscopy.<\/li>\n<li>Ultrasound diagnostics.<\/li>\n<li>Corneal computer topography and tomography.<\/li>\n<li>Examination of the retina and optic nerve.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-message us_custom_0490361b color_red with_icon\"><div class=\"w-message-icon\"><i class=\"fas fa-engine-warning\"><\/i><\/div><div class=\"w-message-body\"><p>In addition, in the case of cataract, the optical power of the intraocular lens that will replace the clouded natural lens needs to be calculated.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">How is combined surgery performed?<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Most often, the following methods are combined:<\/p>\n<ul>\n<li>Cataract extraction.<\/li>\n<li>Iol implantation.<\/li>\n<li>Iol repositioning and\/or suturing.<\/li>\n<li>Implantation of an artificial iris (iris prosthesis).<\/li>\n<li>Anti-glaucoma intervention.<\/li>\n<li>Pupilloplasty with sutures.<\/li>\n<li>Corneal transplantation.<\/li>\n<li>Vitrectomy.<\/li>\n<\/ul>\n<p>It is worth noting that, in these complex cases, very sophisticated equipment is used\u2014this includes surgical microscopes with 3D visualization and augmented reality, intraoperative optical coherence tomography, femtosecond lasers, and computerized systems for cataract extraction and vitrectomy. Skilful use of these instruments and equipment ensure recovery of vision even in the most difficult, seemingly hopeless, clinical cases.<\/p>\n<p>As an example, in a patient with corneal opacity combined with cataract, the following procedure is performed:<\/p>\n<ul>\n<li>Preparing the patient for surgery.<\/li>\n<li>Trephination and removal of the recipient cloudy cornea.<\/li>\n<li>Cataract extraction and iol implantation.<\/li>\n<li>Preparing the donor corneal graft, and its placement into the recipient\u2019s corneal bed.<\/li>\n<li>Suturing the new cornea in place.<\/li>\n<\/ul>\n<p>It is worth emphasizing that the success of such a complex surgical procedure depends largely on the extent of the surgeon\u2019s skills and experience.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"featured_media":11639,"parent":0,"menu_order":0,"template":"","meta":{"footnotes":""},"categories":[80],"tags":[],"class_list":["post-11401","operatsiya","type-operatsiya","status-publish","has-post-thumbnail","hentry","category-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya"}],"about":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/types\/operatsiya"}],"version-history":[{"count":0,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11401\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media\/11639"}],"wp:attachment":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media?parent=11401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/categories?post=11401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/tags?post=11401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}