Authors
Sekhina O.L. 2, Konovalova K.I.1, 2, Fayzrakhmanov R.R.1, 2, Vaganova E.E.2
1 N.I. Pirogov National Medical Surgical Center, Moscow
2 Institute of Advanced Training of Physicians N.I. Pirogov National Medical Surgical Center, Moscow
Abstract
Purpose: To evalute the efficacy of short-term tamponade of the vitreal cavity by perfluorinated compound in patients with retinal regomatogenic detachment when localizing a tear in the lower part of the retina.
Material and methods: The analysis of surgical treatment of 30 patients with the diagnosis of primary regmatogenic retinal detachment in combination with proliferative vitreoretinopathy с type 1-3 with inclusion of the macular zone, with the localization of the rupture in the lower retina. All patients were divided into two groups depending on the tamponade vitreal cavity. I group (n = 14): first stage – vitreoretinal surgery with a tamponade of the vitreal cavity of perfluoroorganic compounds for 14 days, second stage – removal of perfluoroorganic compounds from the vitreal cavity + facoemulsification with implantation of the intraocular lens + tamponade of the natural gas mixture (С2F6). Monitoring for at least 6 months after perfluorinated compound or silicone oil removal.
Results: The preliminary results of the study showed a high effectiveness of short-term perfluorinated compound tamponade compared to the silicone oil tamponade in patients with retinal regomatogenic detachment at the localization of a tear in the lower retina, relapse was detected only in the ii group of 37,5% of the cases. Conclusion. The results of the conducted study confirm the effectiveness of the use of short-term tamponade of the vitreal cavity of perfluorinated compound in the treatment of patients with retinal detachment at the localization of a tear in the lower retina. This method improves the anatomical and functional results of vitreoretinal surgery in this category of patients and helps to reduce the number of postoperative complications.
Keywords: rhegmatogenous retinal detachment, tamponade of the vitreal cavity, perfluoroorganic compound.
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