On functional results of treatment of recurrent rhegmatogenous retinal detachment after multiple endovitreal interventions

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Abstract

The present report is an extension of the study, in which on a large clinical material, the ratio of procedures used at this time for retinal detachment was shown, and the frequency of relapses after extrascleral and endovitreal surgeries was analyzed.

The purpose of the study is to determine the terms of relapse occurrence, and to estimate visual function after multiple endovitreal procedures.

Materials and methods. The study was carried out in the Ophthalmological Center of the City Hospital No. 2 of St. Petersburg. The data of 116 case histories of 23 patients (28 eyes) repeatedly admitted to the department of vitreoretinal surgery of the center and operated (2 to 7 times) for recurrent rhematogenous retinal detachment in 2015-2016 were analyzed.

Results. Multistage endovitreal surgery in patients with recurrent retinal detachment in most cases (78.6%) leads to significant decrease of visual functions; in incomplete retinal adherence in the lower segments after extrascleral surgery, additional scleral buckling or barrier laser retinal photocoagulation can be used.

About the authors

Andrei D. Shchukin

Saint Petersburg City Multifield Hospital No 2

Author for correspondence.
Email: shchukin.a.d@mail.ru

PhD, Ophthalmologist. Saint Petersburg City Multifield Hospital No 2

Russian Federation, Saint Petersburg

References

  1. Щукин А.Д., Сайгина Е.А., Литвинова Е.А. Предварительные результаты экстрасклеральных и витреоретинальных вмешательств по поводу регматогенной отслойки сетчатки // Офтальмологические ведомости. – 2018. – Т. 11. – № 2. – С. 36–40. [Shchukin AD, Saigina EA, Litvinova YA. Preliminary results of extra-scleral and vitreoretinal procedures for rhegmatogenous retinal detachment. Ophtalmology journal. 2018;11(2):36-40. (In Russ.)]. https://doi.org/10.17816/OV11236-40.
  2. Lincoff H, Lincoff A, Stopa M. Systematic Review of Efficacy and Safety of Surgery for Primary Retinal Detachment. In: Primary Retinal Detachment. Ed. by I. Kreissig. Berlin, Heidelberg: Springer; 2005. P. 161-175. https://doi.org/10.1007/3-540-26801-4_8.
  3. Нероев В.В., Захарова Г.Ю., Слепова О.С. Пролиферативная витреоретинопатия при регматогенной отслойке сетчатки: вопросы патогенеза, лечения и профилактики // Современные технологии лечения витреоретинальной патологии. – М., 2006. – С. 121–125. [Neroev VV, Zakharova GY, Slepova OS. Proliferativnaya vitreoretinopatiya pri regmatogennoy otsloyke setchatki: voprosy patogeneza, lecheniya i profilaktiki. In: Sovremennye tekhnologii lecheniya vitreoretinal’noy patologii. Moscow; 2006. P. 121-125. (In Russ.)]
  4. Minihan M. Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol. 2001;85(5):546-548. https://doi.org/10.1136/bjo.85.5.546.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Patient S., 57 years. Right eye: no signs of inflammation. Pseudophakia, operated regmatogenous retinal detachment, the state after cerclage and additional scleral buckling. Non-adherence of the retina in the lower segments remains. RE VA = 0.1. Duration of the observation period – more than 3 years

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Copyright (c) 2019 Shchukin A.D.

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