BUYNUZ QİŞANIN DƏLİB-KEÇƏN YARALANMALARINDA TRİPLEKS MÜAYİNƏSİ ƏSNASINDA HEMODİNAMİK PARAMETRLƏRİN VƏZİYYƏTİNİN ÖYRƏNİLMƏSİ

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SUMMARY

Aim. To study the hemodynamic parameters using the triplex investigations in the penetrating comeal wounds.

Material and methods
Clinical material includes 17 patients (17 eyes) with the penetrating comeal wounds at
the age of 18-52 years of old. Among them there were 5 women, 12 men. Depending on the localization and depth
of process we noted various complications in the patients: rupture, partial abruption of iris, strangulation in a wound,
rupture of the anterior lens capsule, prolapsed of masses into the wound, strangulation of masses and vitreous body in
a wound. All patients were subjected to the primary surgical treatment of wound with the removal of complications.
Investigation methods included visometry, biomicroscopy, ophthalmoscopy (if needed), roentgen, ultrasound
A/B scanning and dopplerography.
Triplex investigations were performed with the help of ultrasound diagnostic system “Nemio XG SSA-580A”
“TOSHIBA” (Japan) with the linear gauge of 7,5 MH. Vmax (maximal systolic circulation rate) rate parameters,
Vmin (terminal diastolic circulation rate) and resistance index IR in ocular artery (OA), central retinal artery
(CRA) and posterior short ciliary arteries (PSCA).

Results and discussion
The investigation of eye hemodynamics according to the ultrasound dopplerography
data has revealed the violation of ocular circulation in all investigated patients with penetrating comeal wounds.
This is testihed by the changes ofhemodynamic parameters in the investigated vessels.

Conclusions:
1. Triplex investigations must make the base of ophthalmo-diagnostic methods complex in the penetrating
comeal wounds.
2. Triplex investigations make it feasible to leam the violations of eye circulation in the penetrating comeal
wounds and to perform correction of these changes in virtue of the obtained results.
3. Triplex investigations are important for choosing of tactics and appreciation of conservative and surgical
treatment efficiacy having been conducted before and after of these complications.
4. Statistical processing of hemodynamic parameters investigation results in the eyeball and orbit vessels in
patients with the penetrating comeal wounds have to be made in the comparison with the healthy eye.
5. Given the irradiation of the severity of the eye injuries in the posterior segment, the use of the triplex
investigation before and after the branching of the ophthalmic artery (OA) is recommended.