Saratov JOURNAL of Medical and Scientific Research

Evaluation of the functional efect of surgical treatment of rhegmatogenous detachment in the late postoperative period

Year: 2019, volume 15 Issue: №2 Pages: 470-473
Heading: Ophtalmology Article type: Original article
Authors: Zaika V.A., Yakimov A.P., Yuryeva T.N.
Organization: The S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

Purpose: to identify the key factors determining the functional outcome of surgical treatment of rhegmatogenous retinal detachment. Material and Methods. The study group included 39 patients operated for rhegmatogenous retinal detachment, which 6 months after surgery were divided into 2 groups depending on visual acuity obtained. All patients underwent standard ophthalmologic examination and color computed perimetry, electrophysiological studies, electro-retinography and registration of visual evoked potentials, optical coherent tomography, color Doppler mapping of posterior pole vessels. Results. 6 months after the surgical treatment of retinal detachment in the 1st group, best corrected monocular visual acuity increased by 4 times in comparison with the 2nd group. When analyzing color-opponent perim-etry results in patients of the frst group, a threefold improvement in medium sensitivity and reliability factor indices for both red and blue stimuli was detected in comparison with the 2nd group. Patients in the 2nd group showed an increase in the phosphene index. In patients of this group in late postoperative period there was an increase in peripheral resistance of vascular wall in both arterial and venous parts of the blood fow, which was probably one of important reasons for non- recovery of vision in patients of this group. Conclusion. Full restoration of regional blood fow and receptor channels of organ of vision, as well as restoration of local and general electrical sensitivity of retina and visual pathway conductivity, is a necessary component of successful restoration of visual functions.

Bibliography:
1 Alpatov SA, Yakimov AP. The results of 42 operations ballooning for retinal detachment: Two-year observation. In: Materialy I Yevro-Aziatskoy konferentsii po oftalmokhirurgii. Yekaterinburg, 1998; p. 73–4
2 Antelava DI, Pivovarov NN, Safoyan AA. Primary retinal detachment. Tbilisi: Meditsina, 1986
3 Zaika VA, Yakimov AP. Features of changes in the structural and functional state of the posterior pole of the eye after surgical treatment of retinal detachment. Practical medicine 2012; vol. 2, 4 (59): 97–9
4 Zakharov VD, Balinskaya NR, Lazarenko LF. Combined intravitreal surgical intervention for retinal detachment complicated by vitreoretinal traction. Eye surgery 1997; 1: 28–34
5 Charles S, Calzada J, Wood B. Microsurgery of the vitreous body and retina: an illustrated guide. Moscow: MEDpress-inform, 2012; 400 p.
6 Ehlers JuP, Shah ChP. Ophthalmology: a guide; transl. from English by prof. Astakhov YuS. Moscow: MEDpress-inform, 2012; 544 р.
7 Yakimov AP, Zaika VA. Comprehensive assessment of the structural and functional state of the posterior segment of the eye after surgical treatment of rhegmatogenous retinal detachment. Bulletin of the East-Siberian Scientifc Center of the Siberian Branch of the Russian Academy of Medical Sciences 2011; 82 (6): 141–3
8 Alexander P, Ang A, Poulson A. Scleral buckling combined with vitrectomy for the management of rhegmatogenous retinal detachment associated with inferior retinal break. Eye (Lond.) 2008; 22: 200–3. URL: http://dx.doi.org / 10.1038 / sj. eye. 6702555
9 Byer NE. Subclinical retinal detachment resulting from asymptomatic retinal breaks: prognosis for progression and regression. Ophthalmology 2001; 108: 1499–503. DOI: https:// doi.org / 10.1016 / S0161–6420 (01) 00652–2
10 Day S, Grossman DS, Mruthyunjaya P. One-year outcomes after retinal detachment surgery among medicare benefciaries. Am J Ophthalmol 2010; 150: 338–45. URL: http://dx.doi.org / 10.1016 / j. ajo. 2010.04.009
11 Falkner-Radler CI, Myung JS, Moussa S. Trends in primary retinal detachment surgery: Results of a Bicenter Study. Retina 2011; 31: 928–36. URL: http://dx.doi.org / 10.1097 / IAE. 0b013e3181f2a2ad
12 Heimann H, Zou X, Jandeck C. Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of 512 cases. Graefes Arch Clin Exp Ophthalmol 2006; 244: 69–78. URL: https://doi.org / 10.1007 / s00417-005-0026-3
13 Heimann H, Bartz-Schmidt KU, Bornfeld N. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study. Ophthalmology 2007; 114: 2142–54. URL: https://doi.org / 10.1 7 / s00417-011-1619-7
14 Koriyama M, Nishimura T, Matsubara T. Prospective study comparing the efectiveness of scleral buckling to vitreous surgery for rhegmatogenous retinal detachment. Jpn J Ophthalmol 2007; 51: 360–7. URL: https://doi.org / 10.1007 / s103 84-007-0463-0
15 Sharma YR, Karunanithi S, Azad RV. Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. Acta Ophthalmol Scand 2005; 83: 293–7. URL: https://doi.org / 10.1111 / j. 1600– 0420.2005.00461x
16 Sun Q, Sun T, Xu Y. Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment: a meta-analysis of randomized controlled clinical trials. Curr Eye Res 2012; 37: 492–9. URL: https://doi.org / 10.3109 / 2713683.2 12.883854
17 Avanesova TA. Rheumatogenous retinal detachment: The current state of the problem. Oftalmologiya 2015; 12 (1): 24– 32
18 Mashchenko NV, Khudyakov AYu, Lebedev YaB, et al. Comparative analysis of surgical treatment of primary rhegmatogenous retinal detachment using episcleral and vitreous surgery. In: Sovremennyye tekhnologii lecheniya vitreoretinalnoy patologii — 2014: Sb. tezisov. Moscow, 2014; p. 77–8
19 Shkvorchenko DO, Zakharov VD, Kakunina SA, et al. Modern approaches to surgical treatment of rhegmatogenous retinal detachment. Cataract and refractive surgery 2015; 15 (2): 4–10
20 Kobashi H, Takano M, Yanagita T, et al. Scleral buckling and pars plana vitrectomy for rhegmatogenous retinal detachment: an analysis of 542 eyes. Cur Eye Res 2014; 39 (2): 204–211. DOI: 10.1371 / journal. pone. 116493

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