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The Role of Vitreoretinal Surgery in Eye Reconstruction after Severe Injury
Victor Bykov, George Petriashvili
Russia
Mechanical injuries of the eye, causing massive destruction of eye tissues,
the lens and vitreous body usually lead to eye subatrophy. The last two
decades have seen considerable progress in the prevention and treatment
of this serious complication. In such cases, however,
ophthalmologists efforts were principally aimed at saving the eye as a
cosmetic organ. We believe that contemporary microsurgery of severe penetrating
injuries of the eye should make use of up-to-date achievements of vitreoretinal
surgery.
We have developed and tested a system of intraocular surgery for patients
with with severe mechanical injuries. This system has proven effective
in more than 1,500 cases, making it possible considerably to reduce the
number of enucleations and in some cases successfully to reconstruct subatrophic
eyes and also restore subject vision.
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