Issue 20-4, 2021
Original article
Results of the Preformed Physical Factors Application in the Rehabilitation Treatment of Corneal Ulcerative Defects
1 Olga V. Yurova, 2
Yaroslav A. Soloviev, 1
Tatiana V. Konchugova
1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
2 City Clinical Hospital №1, Moscow, Russian Federation
ABSTRACT
Currently, an infectious corneal ulcer, a defect in the corneal epithelium, remains one of the main causes of monocular blindness,which necessitates the development of new effective methods of treatment.
AIM. To develop and evaluate the effectiveness of the technique for the complex application of preformed physical factors of local andsegmental action in patients with corneal ulcers.
MATERIAL AND METHODS. The study involved 85 patients with corneal ulcers aged 18 to 60 years divided into three groups. Patients ofthe control group (29 people) received the standard drug therapy, the comparison group (29 people) underwent a course of magnetophoresiswith solcoseryl on closed eyelids against the background of standard drug therapy, patients of the main group (27 people)received standard drug therapy, magnetophoresis and low-frequency electrostatic fields on the collar area. All patients were evaluatedfor visual acuity, the size of the ulcer and the area of stromal infiltration. The subjective severity of pain syndrome (VAS scale),psychoemotional state (SAN test) were assessed. Statistical analysis of the data was performed using SPSS Statistics v.25.
RESULTS. Immediately after treatment, the use of preformed physical factors made it possible to shorten the period of the ulcer epithelializationand suppression of the inflammatory reaction in the cornea, which significantly improved the clinical and functionalparameters of the eye, as well as considerably reduced the severity of pain syndrome in comparison with standard drug treatment.
CONCLUSION. In the long-term period, the use of preformed physical factors contributed to a significant decrease in the size of thecorneal infiltration area (residual opacities) and an improvement in the quality of life of patients according to the General MentalWellbeing scale, which exceeded the effectiveness of standard drug therapy, while the combined use of a low-frequency electrostaticfield and magnetophoresis allowed to noticeably improve the indicators of visual acuity in comparison with standard drug therapyand isolated use of magnetophoresis.
KEYWORDS: corneal ulcer, physiotherapy, preformed physical factors, magnetophoresis, low frequency electrostatic field
FUNDING: The study had no sponsorship
CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.
FOR CITATION: Yurova O.V., Soloviev Y.A., Konchugova T.V. Results of the Preformed Physical Factors Application in the Rehabilitation Treatment of Corneal Ulcerative Defects. Bulletin of Rehabilitation Medicine. 2021; 20 (4): 126-132. https://doi.org/10.38025/2078-1962-2021-20-4-126-132
FOR CORRESPONDENCE:
Olga V. Yurova, e-mail: irisclips@gmail.com
References:
- Whitcher J.P., Srinivasan M., Upadhyay M.P. Corneal blindness: a global perspective. Bulletin of the World Health Organization. 2001; (79): 214-221.
- Bhadange Y., Sharma S., Das S. et al. Role of liquid culture media in the laboratory diagnosis of microbial keratitis. American Journal of Ophthalmology. 2013; (156): 745-751.
- Byrd L.B., Martin N. Corneal Ulcer In: StatPearls Treasure Island (FL): StatPearls Publishing. 2020.
- Lu X., Ng D.S-C, Zheng K. Risk factors for endophthalmitis requiring evisceration or enucleation. Scientific Reports. 2016; (6): 28100.
- Hongyok T., Leelaprute W. Corneal ulcer leading to evisceration or enucleation in a tertiary eye care center in Thailand: clinical and microbiological characteristics. Journal of the Medical Association of Thailand. 2016; 99(2): 116-122.
- Gokhua T.I., Yegorov V.V., Smolyakova G.P., Borisova T.V. Klinicheskoye obosnovaniye k primeneniyu magnitoforeza preparata longidazy - kom-binirovannogo fermenta v kompleksnom lechenii bakterial’nykh keratitov [Clinical rationale for the use of magnetophoresis of the drug longidase - a combined enzyme in the complex treatment of bacterial keratitis. Modern technologies in ophthalmology]. Sovremennyye tekhnologii v oftal’mologii. 2018; (2): 183-185 (In Russ.).
- Egorov V.V., Smolyakova G.P., Gokhua T.I., Borisova T.V. Klinicheskaya otsenka novoy fizioterapevticheskoy tekhnologii v kompleksnom lechenii bakterial’nogo vospaleniya rogovitsy [Clinical evaluation of new physiotherapeutic technology in the complex treatment of bacterial inflammation of the cornea]. Practical Medicine. 2017; 2(9): 72-77 (In Russ.).
- Filatov V.V. Infrazvukovoy fonoforez - novoye napravleniye v lechenii oftal’mopatologii [Infrasound phonophoresis - a new trend in treatment of ophthalmic pathology]. Rossiyskaya detskaya oftal’mologiya. 2013; (1): 52-60 (In Russ.).
- Frolov M.A., Kazakova K.A., Gonchar P.A., Frolov A.M. Sanatsiya yazvy rogovitsy lazernym izlucheniyem blizhnego IK-diapazona [Sanitation of corneal ulcer by near-infrared laser radiation]. Tochka zreniya Vostok-Zapad. 2016; (2): 135-137 (In Russ.).
- Frolov M.A. Primeneniye diodnogo lazernogo koagulyatora 1.44 mkm dlya lecheniya yazv rogovitsy. [Application of a 1.44 pm diode laser coagulator for the treatment of corneal ulcers. VI Russian National Ophthalmological Forum: Collection of Scientific Papers]. VI Rossiyskiy obshchenatsional’nyy oftal’mologicheskiy forum: sbornik nauchnykh rabot. 2014; (2): 491-495 (In Russ.).

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.