CLINICAL CASE OF LONG-TERM RESULTS OFSCLEROPLASTY SURGERIES IN A PATIENT WITH A HIGH MYOPIA

Abstract

Progressive myopia continues to be one of the topical problems in present ophthalmology. The urgency and signi쎘cance of this problem are due to the fact that myopia is the most common pathology of refraction and often leads to disability at a young age. Objective: to study the refractive and clinical features of the treatment of patients with a high myopia. This article presents the results of treatment of the patient with a diagnosis of high myopia, complex myopic astigmatism, initial cataract OU. From the anamnesis, it is known that 44 years ago the patient underwent scleroplasty surgery on her right eye for progressive myopia, later keratotomy and penetrating keratoplasty. On the left eye the patient underwent a bandaging scleroplasty and keratoplasty. At the moment, the best visual acuity is: OD: 0,01 sph-10,0 cyl8.0 ax84 = 0,2; OS: 0.05 sph-3,50 cyl-1,75 ax90 = 0,6. According to the keratotopograms of the right eye (after keratoplasty) there is a reverse astigmatism of 5.5 diopters. The patient was subjected to standard examination methods, including visometry with the de쎘nition of both best corrected and uncorrected visual acuity, autorefractometry, tonometry on a non-contact tonometer Topcon CT-80, perimetry on the arc perimeter PRP-60, biomicroscope SL 120 Carl Zeiss Meditec AG, OST of the anterior segment of the eye on the device OCT Zeiss and surgical treatment.