Clinical functional changes of eye surface at secondary dry eye syndrome and their correction
pose: To study efficiency of application drops replacing tear with sodium hyaluronat 0.15% for correction displays of a secondary DES at patients after excimer laser correction of vision and brachytherapy on the basis of monitoring clinical functional characteristics of a condition an eye surface. Methods: The eye surface at 39 patients (mean age 33.21±8.47 years) after excimer laser correction of vision and at 20 patients (mean age 56.25±11.84 years) after brachytherapy of choroidal melanoma is investigated. The estimation of degree of subjective discomfort, Shirmer test, Norn test, ОСТ the bottom meniscus of tear before treatment, and as in 1 month of application drops replacing tear with sodium hyaluronat 0.15% is spent. Results: After beam treatment occurrence of patients with the third degree and increase with the second degree of subjective discomfort, increase in quantity of patients with indicators Norn test of less than 10 isn'ted with; authentic distinctions on Shirmer test it is not revealed. At OCT-meniskometrii - authentic decrease in height of the bottom meniscus of tear after operative treatment. In 1 month uses Hylabac all patients marked good shipping, absence of burning and conjunctiva reddening. The increase in quantity of patients with zero degree of discomfort in eyes isn'ted at smaller, their number with the second degree and absence of those with the third degree of subjective discomfort. Authentic statistical distinctions on Shirmer test it is not revealed. Authentic increase in quantity of patients with an indicator of Norn test more than 10 with. Authentic increase in height of the bottom meniscus of tear, width of a corner of wetting of a cornea in both investigated groups at OCT-meniscometry. Conclusion: Monitoring of a clinical functional condition of an eye surface to and in 1 month of application drops replacing tear with sodium hyaluronat 0.15% has shown reduction of signs dryness to an eye surface. The given researches should be considered at appointment of pathogenetic therapy in correction of secondary DES at the given groups of patients.