2022Modern technologies in ophtalmologyRequires access

Analysis results of pneumoretinopexy in surgical treatment rhegmatogenous retinal detachment

The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch, Khabarovsk, Russian Federation, Y.B. Lebedev, A.Y. Khudyakov, The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch, Khabarovsk, Russian Federation

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Abstract

Introduction. Pneumoretinopexy is low-traumatic and minimally invasive technique for treatment retinal detachment. Purpose. Analysis clinical efficacy of pneumoretinopexy in treatment rhegmatogenous retinal detachment. Material and methods. 9 patients (9 eyes) aged 35 to 67 years (all women) were selected. Selection criteria: rhegmatogenous retinal detachment, the presence of one or two horseshoe retinal tear in the superior meridians. Results. On 3–5th days, all 9 patients had blockage of retinal tear, in 4 eyes the height of the retinal detached significantly decreased, in 5 patients had complete reattachment of the retina. Barrier laser retinal photocoagulation of the areas of retinal tears was performed, a barrier of coagulates was formed around the blocked tears. Patients were discharged on the 7 th day. Recurrent retinal detachment occurred in 2 patients (2 eyes). At the end of the follow-up period, after complete gas resorption in the vitreous chamber, visual acuity in all patients increased above 0.1, on average – 0.3. Conclusion. Pneumoretinopexy is effective in recent cases of rhegmatogenous retinal detachment with follow-up periods of up to 1 month. Pneumoretinopexy should be used with caution in eyes with pseudophakia; on the eyes with large retinal tears in the meridian below 1–11 o'clock meridians. Keywords: pneumoretinopexy, retinal detachment, recurrent retinal detachment, surgical treatment of retinal detachment.

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Introduction. Pneumoretinopexy is low-traumatic and minimally invasive technique for treatment retinal detachment. Purpose. Analysis clinical efficacy of pneumoretinopexy in treatment rhegmatogenous retinal detachment. Material and methods. 9 patients (9 eyes) aged 35 to 67 years (all women) were selected. Selection criteria: rhegmatogenous retinal detachment, the presence of one or two horseshoe retinal tear in the superior meridians. Results. On 3–5th days, all 9 patients had blockage of retinal tear, in 4 eyes the height of the retinal detached significantly decreased, in 5 patients had complete reattachment of the retina. Barrier laser retinal photocoagulation of the areas of retinal tears was performed, a barrier of coagulates was formed around the blocked tears. Patients were discharged on the 7 th day. Recurrent retinal detachment occurred in 2 patients (2 eyes). At the end of the follow-up period, after complete gas resorption in the vitreous chamber, visual acuity in all patients increased above 0.1, on average – 0.3. Conclusion. Pneumoretinopexy is effective in recent cases of rhegmatogenous retinal detachment with follow-up periods of up to 1 month. Pneumoretinopexy should be used with caution in eyes with pseudophakia; on the eyes with large retinal tears in the meridian below 1–11 o'clock meridians. Keywords: pneumoretinopexy, retinal detachment, recurrent retinal detachment, surgical treatment of retinal detachment.

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Available abstract

Introduction. Pneumoretinopexy is low-traumatic and minimally invasive technique for treatment retinal detachment. Purpose. Analysis clinical efficacy of pneumoretinopexy in treatment rhegmatogenous retinal detachment. Material and methods. 9 patients (9 eyes) aged 35 to 67 years (all women) were selected. Selection criteria: rhegmatogenous retinal detachment, the presence of one or two horseshoe retinal tear in the superior meridians. Results. On 3–5th days, all 9 patients had blockage of retinal tear, in 4 eyes the height of the retinal detached significantly decreased, in 5 patients had complete reattachment of the retina. Barrier laser retinal photocoagulation of the areas of retinal tears was performed, a barrier of coagulates was formed around the blocked tears. Patients were discharged on the 7 th day. Recurrent retinal detachment occurred in 2 patients (2 eyes). At the end of the follow-up period, after complete gas resorption in the vitreous chamber, visual acuity in all patients increased above 0.1, on average – 0.3. Conclusion. Pneumoretinopexy is effective in recent cases of rhegmatogenous retinal detachment with follow-up periods of up to 1 month. Pneumoretinopexy should be used with caution in eyes with pseudophakia; on the eyes with large retinal tears in the meridian below 1–11 o'clock meridians. Keywords: pneumoretinopexy, retinal detachment, recurrent retinal detachment, surgical treatment of retinal detachment.

Key concepts: Retinal detachment, Retinal Tear, Medicine, Retinal, Ophthalmology, Retina, Tears, Visual acuity

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