FIELD: medicine.
SUBSTANCE: after surgery, osmolarity of the lacrimal fluid and the superficial corneal layers epithelium are examined by confocal microscopy of the cornea. When the osmolarity of the fluid rises above 340 mOsm/l within 6 months after surgery, and a severe degree of degenerative changes in the epithelium and the anterior stroma of the cornea are observed, the treatment is carried out for 3 months: corneoprotectors instillations 4 times a day for 1 month, then only overnight, and tear-replacing drugs instillations without preservatives 6 times a day for 1 month, then 4 times a day. In the presence of osmolarity in the range from 320 to 340 mOsm/l and a moderate degree of degenerative changes in the epithelium and anterior stroma of the cornea for 2 months, the treatment is carried out: corneoprotectors instillations 4 times a day for 1 month, then only overnight, and tear-replacing drugs instillations without preservatives 4 times a day. In the presence of osmolarity of up to 320 mOsm/l and insignificant degree of degenerative changes in the epithelium and anterior stroma of the cornea, corneoprotectors and tear-replacing drugs instillations are performed 4 times a day for 1 month.
EFFECT: reduced risk of xerotic and trophic corneal changes development.
3 ex
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