Abstract
Primary corneal dystrophies management should be aimed at eliminating the main complaints of the patient and be based on the correct diagnosis of the type of dystrophy, assessment of the volume of stromal tissue lesions, as well as the risk of disease recurrence. Among modern methods of surgical treatment of corneal dystrophies, phototherapeutic keratectomy, lamellar and penetrating keratoplasty are most widely used. The main goal of surgical treatment is to maintain the transparency of optical media, increase visual functions and improve the quality of life of patients, and the volume and type of surgery should be minimized and be sparing. The choice of surgical approach and volume of surgical intervention is determined depending on the severity of corneal opacity and the type of dystrophy. The article presents an assessment of the effectiveness of various surgical approaches to treatment on two clinical cases in patients with some forms of anterior corneal dystrophies, in particular, granular stromal dystrophy types I and II. Key words: primary corneal dystrophies, granular dystrophy, surgical treatment, phototherapeutic keratectomy, anterior lamellar keratoplasty
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