Autologous serum implementation in treating ophthalmology patients

Introduction/objective Autologous transfusion (AT) of blood and/or blood products is more and more commonly used in clinical practice. In ophthalmology, autologous serum (AS) prepared from autologous blood of the patient is commonly used to treat various diseases of the eye, expecially the dry eye s...

Full description

Bibliographic Details
Main Authors: Stanković Bratislav, Petrović Jelena, Vujović Zorica, Popović Jovan, Trišović Marija
Format: Article
Language:English
Published: City Medical emergency department, Belgrade 2019-01-01
Series:Halo 194
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2019/2334-64771902092S.pdf
_version_ 1818266690508554240
author Stanković Bratislav
Petrović Jelena
Vujović Zorica
Popović Jovan
Trišović Marija
author_facet Stanković Bratislav
Petrović Jelena
Vujović Zorica
Popović Jovan
Trišović Marija
author_sort Stanković Bratislav
collection DOAJ
description Introduction/objective Autologous transfusion (AT) of blood and/or blood products is more and more commonly used in clinical practice. In ophthalmology, autologous serum (AS) prepared from autologous blood of the patient is commonly used to treat various diseases of the eye, expecially the dry eye syndrome. The objective of the research was to determine the importance of autologous serum implementation in treating eye disease, to establish the implementaion protocol in clinical practice, as well as to analyse the effects of the therapy in patients with various eye conditions. Methodology When prescribed by an ophthalmologist, AS is prepared for a particular patient following a strict preparation protocol. The Clinical Center of Serbia Eye Clinic implements its own modified procedure in preparing AS. From January 1st 2014 until December 31st 2018 540 patients (262-49% men and 278-51% women) have been admitted and treated using AS at the Eye Clinic. Results In 430 (80%)patients, the implementation of AS was initiated during hospitalization, to be continued after discharge and monitored regularly at checkups. In 110 (20%)patients, the AS therapy was initiated at the infirmary to be continued at home after the patient had been adequately educated to implement it correctly. Of all the patients treated with AS, the greatest number suffered from chemical injury of the eye (178 - 33%), a slightly smaller number (148 - 27%) from mechanical injury of the eye and 78 (15%) patients suffered from the dry eye syndrome. The study noted that the first effects of the therapy became evident after two weeks. The effects of the therapy were monitored using objective tests to evaluate the quality of the tear film (Schirmer I test, Rose Bengal test) and by evaluating the precorneal tear film breakup (Tear Break-Up Time - TBUT). The AS therapy can last from a few weeks to a few years. The patients report for check up once a week at the Eye Clinic. Conclusion The AS therapy is a cheap and simple procedure, efficient in treating difficult cases of dry eye syndrome, chemical and thermal eye injury. Preparation and implementation of AS is an activity that must be performed while strictly following rules and standards, which enables the implementation of a standard operative procedure.
first_indexed 2024-12-12T20:10:43Z
format Article
id doaj.art-981fc89f61b642d8a3b14cd6c286e64e
institution Directory Open Access Journal
issn 2334-6477
2334-6477
language English
last_indexed 2024-12-12T20:10:43Z
publishDate 2019-01-01
publisher City Medical emergency department, Belgrade
record_format Article
series Halo 194
spelling doaj.art-981fc89f61b642d8a3b14cd6c286e64e2022-12-22T00:13:31ZengCity Medical emergency department, BelgradeHalo 1942334-64772334-64772019-01-01252921022334-64771902092SAutologous serum implementation in treating ophthalmology patientsStanković Bratislav0Petrović Jelena1Vujović Zorica2Popović Jovan3Trišović Marija4Visoka zdravstvena škola strukovnih studija u Beogradu, ZemunKlinički Centar Srbije, Klinika za očne bolesti, BeogradVisoka zdravstvena škola strukovnih studija u Beogradu, ZemunKlinički Centar Srbije, Klinika za očne bolesti, BeogradVisoka zdravstvena škola strukovnih studija u Beogradu, ZemunIntroduction/objective Autologous transfusion (AT) of blood and/or blood products is more and more commonly used in clinical practice. In ophthalmology, autologous serum (AS) prepared from autologous blood of the patient is commonly used to treat various diseases of the eye, expecially the dry eye syndrome. The objective of the research was to determine the importance of autologous serum implementation in treating eye disease, to establish the implementaion protocol in clinical practice, as well as to analyse the effects of the therapy in patients with various eye conditions. Methodology When prescribed by an ophthalmologist, AS is prepared for a particular patient following a strict preparation protocol. The Clinical Center of Serbia Eye Clinic implements its own modified procedure in preparing AS. From January 1st 2014 until December 31st 2018 540 patients (262-49% men and 278-51% women) have been admitted and treated using AS at the Eye Clinic. Results In 430 (80%)patients, the implementation of AS was initiated during hospitalization, to be continued after discharge and monitored regularly at checkups. In 110 (20%)patients, the AS therapy was initiated at the infirmary to be continued at home after the patient had been adequately educated to implement it correctly. Of all the patients treated with AS, the greatest number suffered from chemical injury of the eye (178 - 33%), a slightly smaller number (148 - 27%) from mechanical injury of the eye and 78 (15%) patients suffered from the dry eye syndrome. The study noted that the first effects of the therapy became evident after two weeks. The effects of the therapy were monitored using objective tests to evaluate the quality of the tear film (Schirmer I test, Rose Bengal test) and by evaluating the precorneal tear film breakup (Tear Break-Up Time - TBUT). The AS therapy can last from a few weeks to a few years. The patients report for check up once a week at the Eye Clinic. Conclusion The AS therapy is a cheap and simple procedure, efficient in treating difficult cases of dry eye syndrome, chemical and thermal eye injury. Preparation and implementation of AS is an activity that must be performed while strictly following rules and standards, which enables the implementation of a standard operative procedure.https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2019/2334-64771902092S.pdfautologous transfusionautologous serumeye disease
spellingShingle Stanković Bratislav
Petrović Jelena
Vujović Zorica
Popović Jovan
Trišović Marija
Autologous serum implementation in treating ophthalmology patients
Halo 194
autologous transfusion
autologous serum
eye disease
title Autologous serum implementation in treating ophthalmology patients
title_full Autologous serum implementation in treating ophthalmology patients
title_fullStr Autologous serum implementation in treating ophthalmology patients
title_full_unstemmed Autologous serum implementation in treating ophthalmology patients
title_short Autologous serum implementation in treating ophthalmology patients
title_sort autologous serum implementation in treating ophthalmology patients
topic autologous transfusion
autologous serum
eye disease
url https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2019/2334-64771902092S.pdf
work_keys_str_mv AT stankovicbratislav autologousserumimplementationintreatingophthalmologypatients
AT petrovicjelena autologousserumimplementationintreatingophthalmologypatients
AT vujoviczorica autologousserumimplementationintreatingophthalmologypatients
AT popovicjovan autologousserumimplementationintreatingophthalmologypatients
AT trisovicmarija autologousserumimplementationintreatingophthalmologypatients