Modern extrascleral surgery in the treatment of regmatogenous retinal detachment: efficacy evaluation and functional results

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Abstract

The basic principles of extrascleral surgery, which are currently used in the treatment of regmatogenous retinal detachment (RD), have not changed much since their heyday in the 70–80s of the 20th century, and they remain relevant both as an independent method to treat this disease in certain clinical cases, and in combination with vitrectomy.

The aim is to evaluate the efficacy of RD extrascleral treatment methods (anatomical result, visual acuity), as well as the frequency and timing of the relapses.

Materials and methods. The study was carried out at the vitreoretinal department of the Ophthalmological Center of the City Hospital No. 2 of St. Petersburg. A sample of 466 patients with RD, operated with extrascleral methods in 2015–2016 has been analyzed. Anatomical results, visual acuity, number and timing of relapses have been assessed.

Results. The efficacy of extrascleral surgery reaches 89%, RD recurrence after surgical treatment occurs in 21% of patients.

About the authors

Andrey D. Shchukin

City Ophthalmologic Center of City Hospital No. 2

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

PhD, Ophthalmologist

Russian Federation, Saint Petersburg

References

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  2. Ремер П. Руководство по глазным болезням в форме клинических лекций. В 2 т. / Пер. с нем. под ред. Л.Г. Беллярминова. – СПб.: Практическая медицина (В.Э. Эттингер), 1913. – Т. 1. – С. 305–307. [Römer P. Rukovodstvo po glaznym boleznyam v forme klinicheskikh lektsiy. Translated from German, ed. by L.G. Bellyarminov. Saint Petersburg: Prakticheskaya meditsina (V.E. Ettinger); 1913. – Vol. 1. – P. 305-307. (In Russ.)]
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  8. 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, Saygina EA, Litvinova EA. Preliminary results of extra-scleral and vitreoretinal procedures for rhegmatogenous retinal detachment. Oftal’mologicheskiye vedomosti. 2018;11(2): 36-40. (In Russ.)]. https://doi.org/10.17816/OV11236-40.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Encircling silicon band (length 9 cm, width 2 mm), a silicone capillary to form a sleeve that holds the ends of the band (cut off as a 2–3 mm long fragment)

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3. Fig. 2. Silicone buckles of large and small sizes with a groove for the band, a tourniquet made of porous silicone sponge

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4. Fig. 3. Polytetrafluoroethylene plate used as an additional buckle

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5. Fig. 4. Patient S., 68 years old. OS. Pseudophakia. Regmatogenous retinal detachment with multiple tears, a combination of plastic of thinned scleral areas with a polytetrafluoroethylene plate and circular buckling with a silicone tourniquet

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Copyright (c) 2020 Shchukin A.D.

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