Ипсилатеральная сквозная ротационная аутокератопластика: клинический случай и обзор литературы

Abstract

Purpose. To assess the features and results of post-traumatic reconstruction of the anterior part of the eye in a child with ipsilateral rotational autokeratoplasty (IRAK). Clinical case. Patient I. 5.5 years old, on the right eye performed a reconstructive surgery of the anterior part of the eye with IRAK, including synechiotomy, iridoplasty, phacoaspiration of traumatic cataract and implantation of an intraocular lens. The analysis of literature data has been carried out The restoration of the transparency of the optical axis and increase in visual functions were obtained – the diameter of the autokeratograft was 8.0 mm with a rotation angle 110°. The most preferred for IRAK are central post-traumatic corneal scars, which have a linear shape with significant areas of the transparent corneal periphery preservation. Conclusion. IRAK does not require donor material, it is recommended for limited central corneal sports, eliminates the risk of graft rejection due to incompatibility, and does not require the usage of systemic corticosteroids and immunosuppressants. IRAK is highly effective in childhood when it is necessary to perform combined reconstructive interventions such as «open sky» on the cornea, iris and lens. Key words: ipsilateral rotational autokeratoplasty, post-traumatic scars, ophthalmology reconstruction surgery.