Possible use of corneal lenticule in surgery of corneal diseases (literature review)
https://doi.org/10.29413/ABS.2022-7.5-2.15
Abstract
In this review, we analyzed the domestic and foreign literature on the use of corneal lenticula obtained by keratorefractive surgery using the SMILE technology (SMall Incision Lenticula Extraction). Research is being actively carried out on the use of a lenticular tissue for refractive purposes: for the correction of hyperopia (LIKE – Lenticular Intrastromal Keratoplasty), for the correction of presbyopia (PEARL – PrEsbyopic Allogenic Refractive Lenticule). A significant amount of works are devoted to the use of lenticular tissue for the treatment of keratectasias of various origins. For example, a number of authors for the treatment of keratoconus suggest implantation of a lenticule into the recipient’s corneal pocket formed by a femtolaser (SLAK – Stromal lenticule addition keratoplasty). Clinical cases of combined treatment are described: implantation of a lenticule and corneal intrastromal segments for the treatment of corneal pellucid degeneration. A large number of works are devoted to the use of lenticules for tectonic coverage of ulcerative defects, marginal thinning in Mooren’s ulcer. Several clinical cases of the use of a corneal lenticule to cover a deep corneal defect in recurrent pterygium are described. This review also included articles on the storage and decellularization of corneal lenticules. The analyzed articles show a wide area of application of the corneal lenticule; however, more research is required in each of the areas of application, and it is also necessary to solve the problem of procurement and storage of lenticular tissue.
About the Authors
E. V. Boiko
Saint Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution; North-Western State Medical University named after I.I. Mechnikov; S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Ernest V. Boiko – Dr. Sc. (Med.), Professor, Director; Head of the Ophthalmology Department; Correspondent Member
Yaroslava Gasheka str. 21, Saint Petersburg 192283
Kirochnaya str. 41, Saint Petersburg 191015
Akademika Lebedeva str. 6, Saint Petersburg 194044
A. V. Titov
Saint Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Aleksei V. Titov – Head of Refractive Surgery and Corneal Pathology Department, Director of the Eye Tissue Bank
Yaroslava Gasheka str. 21, Saint Petersburg 192283
J. I. Masian
Saint Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Janek I. Masian – Ophthalmologist at the Refractive Surgery and Corneal Pathology Department
Yaroslava Gasheka str. 21, Saint Petersburg 192283
D. R. Mirsaitova
Saint Petersburg Branch of S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Dilara R. Mirsaitova – Ophthalmologist at the Refractive Surgery and Corneal Pathology Department
Yaroslava Gasheka str. 21, Saint Petersburg 192283
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Review
For citations:
Boiko E.V., Titov A.V., Masian J.I., Mirsaitova D.R. Possible use of corneal lenticule in surgery of corneal diseases (literature review). Acta Biomedica Scientifica. 2022;7(5-2):143-152. (In Russ.) https://doi.org/10.29413/ABS.2022-7.5-2.15
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