THE ALLOPLANT BIOMATERIAL SELECTION ALGORYMTH IN POSTTRAUMATIC STAPHYLOMAS

Abstract

The eye traumas, in a number of cases, may have the most adverse consequences even many years after. The scleral staphyloma forming against the background of the prolonged intraocular pressure is one of these complications.Purpose: development of an algorithm for the selection of Alloplant biomaterials for surgical treatment of scleral staphilomas.Material and methods. To achieve the goal of the study, information from literature sources, as well as the clinical experience of the Federal State Budgetary Institution «Russian Eye and Plastic Surgery Center» of the Ministry of Health of the Russian Federation have been used.Results and discussion. The Alloplant biomaterial selection algorithm in staphyloma based on the use of the ultrasonic biomicroscopy method, which makes it possible to determine the scleral defect thickness to an accuracy of 0,1 mm, has been developed. The algorithm allows surgeons to select of Alloplant biomaterials for staphylomas, depending on the thickness of the scleral defect (0,1-0,2 mm; 0,3-0,4 mm; 0,4-0,5 mm).Conclusions. The proposed tactics of the developed algorithm allows to restore the integrity of the fibrous capsule of the eye and opens up real prospects for creating a favorable appearance of the eyeball and improving the quality of life.