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Post a Comment Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
- Authors: Shishkin M.M.1, Larina E.A.1, Fayzrakhmanov R.R.1, Pavlovsky O.A.1, Sukhanova A.V.1, Karpov G.O.1
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Affiliations:
- National Medical and Surgical Center named after N.I. Pirogov
- Issue: Vol 11, No 3 (2020)
- Pages: 23-28
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/25831
- DOI: https://doi.org/10.17816/clinpract25831
- ID: 25831
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Abstract
Background. In 8–10% of cases after the surgical treatment, macular ruptures do not close. Aim: to assess the morphological and functional parameters of the macular area following the surgical closing of previously operated macular ruptures using a free flap of the internal limiting membrane and silicone oil tamponade.
Methods. This study involved 31 patients, all the patients underwent a surgical treatment applying a free ILM flap and silicone tamponade, the standard diagnostic procedures and optical coherence tomography and microperimetry were also used (before the operation, on the 14th and on the 30th day after the operation).
Results. The change in the morphological parameters of the retina directly correlates with the change of the functional parameters of the macular zone, and a peak of the increase in the retina photosensitivity occurs in the early postoperative period with a slight further increase in the long-term postoperative period.
Conclusions. The surgical treatment of unclosed macular holes, namely the creation of a “free flap” of the internal limiting membrane, or a “plug”, as well as the use of silicone tamponade, ensures a reliable positiveanatomical and functional postoperative result.
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##article.viewOnOriginalSite##About the authors
Mikhail M. Shishkin
National Medical and Surgical Center named after N.I. Pirogov
Email: michail.shishkin@yahoo.com
ORCID iD: 0000-0002-5917-6153
MD, PhD, Professor
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203Evgenia A. Larina
National Medical and Surgical Center named after N.I. Pirogov
Author for correspondence.
Email: alisme93@yandex.ru
ORCID iD: 0000-0001-5343-3350
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203
Rinat R. Fayzrakhmanov
National Medical and Surgical Center named after N.I. Pirogov
Email: rinatrf@gmail.com
ORCID iD: 0000-0002-4341-3572
SPIN-code: 1620-0083
MD, PhD, Professor
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203Oleg A. Pavlovsky
National Medical and Surgical Center named after N.I. Pirogov
Email: olegpavlovskiy@yandex.ru
ORCID iD: 0000-0003-3470-6282
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203
Anna V. Sukhanova
National Medical and Surgical Center named after N.I. Pirogov
Email: anna.sukhanova.as@gmail.com
ORCID iD: 0000-0002-8482-5637
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203
Grigory O. Karpov
National Medical and Surgical Center named after N.I. Pirogov
Email: karpov_go@mail.ru
ORCID iD: 0000-0003-3231-8593
Russian Federation, 70, Nizhnyaya Pervomayskaya street, Moscow, 105203
References
- Алпатов С.А., Щуко А.Г., Малышев В.В. Классификация идиопатических макулярных разрывов сетчатки // Сибирский медицинский журнал (Иркутск). — 2004. — Т.47. — №6. — С. 56–59. [Alpatov SA, Chtchouko AG, Malychev VV. Classification of idiopathic macular retinal holes. Siberian Medical Journal (Irkutsk). 2004;47(6):56–59. (In Russ).]
- Gass JD. Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol. 1995;119(6):752–759. doi: 10.1016/s0002-9394(14)72781-3.
- Лыскин П.В., Захаров В.Д., Лозинская О.Л. Патогенез и лечение идиопатических макулярных разрывов. Эволюция вопроса // Офтальмохирургия. — 2010. — №3. — С. 52–55. [Lyskin PV, Zaharov VD, Lozinskaya OL. Idiopathic macular holes’ pathogenesis and treatment. evolution of the question (literature review). Ophthalmosurgery. 2010;(3):52–55. (In Russ).]
- Ip M, Baker ВJ, Duker JS, Reichel E. Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography. Arch Ophthalmol. 2002;120(1):29–35. doi: 10.1001/archopht.120.1.29.
- Аветисов С.Э., Кац М.В. Использование оптической когерентной томографии в диагностике заболеваний сетчатки (обзор литературы) // Universum: Медицина и фармакология: электрон. научн. журн. — 2017. — №4. [Avetisov SE, Katz MV. Use of optical coherence tomography in the diagnosis of retinal diseases (literature review). Universum: Medicine and pharmacology: electron. scientific journal. 2017;(4). (In Russ).] Доступно по: http://7universum.com/ru/med/archive/item/4561. Ссылка активна на 15.05.2020.
- Файзрахманов Р.Р. Анти-VEGF терапия неоваскулярной возрастной макулярной дегенерации: от рандомизированных исследований к реальной клинической практике // Российский офтальмологический журнал. — 2019. — Т.12. — №2. — С. 97–105. [Fayzrakhmanov RR. Anti-VEGF therapy of neovascular age-related macular degeneration: from randomized trials to routine clinical practice. Russian Ophthalmological Journal. 2019;12(2):97–105. (In Russ).] doi: 10.21516/2072-0076-2019-12-2-97-105.
- Лисочкина А.Б., Нечипоренко П.А. Микропериметрия: преимущества метода и практическое применение // Офтальмологические ведомости. — 2009. — Т.2. — №1. — С. 18–22. [Lisochkina AB, Nechiporenko PA. Microperimetry – the advantages of the method and its practical capabilities. Ophthalmology journal. 2009;2(1):18–22. (In Russ).]
- Магомедова М.М., Алиев А.Г., Алиев А.Г., Нурудинов М.М. Анализ эффективности применения методов прецизионной визометрии у пациентов с макулярной патологией // Современные технологии в офтальмологии. — 2017. — №6. — С. 255–258. [Magomedova MM, Aliyev AG, Aliyev AG, Nurudinov MM. Analiz effektivnosti primeneniya metodov pretsizionnoy vizometrii u patsiyentov s makulyarnoy patologiyey. Modern technologies in ophthalmology. 2017;(6):255–258. (In Russ).]
- McClure ME, Hart PM, Jackson AJ, et al. Macular degeneration: do conventional measurements of impaired visual function equate with visual disability? Br J Ophthalmol. 2000;84(3):244–250. doi: 10.1136/bjo.84.3.244.
- Sunness JS, Schuchard RA, Shen N, et al. Landmark-driven fundus perimetry using the scanning laser ophthalmoscope. Invest Ophthalmol Vis Sci. 1995;36(9):1863–1874.
- Sheidow TG, Blinder KJ, Holekamp N, et al. Outcome results in macular hole surgery: an evaluation of internal limiting membrane peeling with and without indocyanine green. Ophthalmology. 2003;110(9):1697–1701. doi: 10.1016/S01616420(03)00562-1.
- Kumagai K, Furukawa M, Ogino N, et al. Vitreous surgery with and without internal limiting membrane peeling for macular hole repair. Retina. 2004;24(5):721–727. doi: 10.1097/00006982-200410000-00006.
- Файзрахманов Р.Р., Ларина Е.А., Павловский О.А. Влияние различных методик оперативного лечения на морфологию незакрывшегося макулярного разрыва при отрицательном анатомическом результате // Современные технологии в офтальмологии. — 2019. — №1. — С. 204–208. [Fayzrakhmanov RR, Larina EA, Pavlovskiy OA. The influence of various surgical treatment techniques on the morphology of an unclosed macular hole with a negative anatomical result. Modern technologies in ophthalmology. 2019;(1):204–208. (In Russ).] doi: 10.25276/2312-4911-2019-1-204-208.
- Файзрахманов Р.Р. Павловский О.А., Ларина Е.А. Метод закрытия макулярного разрыва с частичным сохранением внутренней пограничной мембраны: сравнительный анализ микропериметрических данных // Medline.Ru. Российский биомедицинский журнал. — 2019. — Т.20. — №17. — С. 187–200. [Fayzrahmanov RR, Pavlovskiy OA, Larina EA. The method of closure of macular holes with a partial peeling of the internal limiting membtane: comparative analisis. Medline.Ru: Rossiyskiy biomeditsinskiy zhurnal. 2019;20(17):187–200. (In Russ).]
- Павловский О.А., Файзрахманов Р.Р., Ларина Е.А. Метод закрытия макулярного разрыва с частичным сохранением внутренней пограничной мембраны: варианты репарации и их морфологическая характеристика // Уральский медицинский журнал. — 2020. — №2. — С. 86–91. [Pavlovskiy OA, Fayzrahmanov RR, Larina EA. The method of closure of macular holes with a partial peeling of the internal limiting membrane: repair options and their morphological characteristics. Ural medical journal. 2020;(2):86–91. (In Russ).] doi: 10.25694/URMJ.2020.02.22.
