Authors
Shevalova T.N.
Military Medical Academy, St Petersburg, Russia
Abstract
Aim: To formulate an algorithm for choosing surgical treatment for inferior recurrence of retinal detachments (RD) in eyes under silicone tamponade depending on the stage of APVR. Materials and methods. This study included the results of surgical treatment of 114 patients with inferior recurrence of RD under silicone tamponade of the vitreous cavity with APVR. Patients were divided into three groups depending on the stage of APVR and into six subgroups depending on the tactics of surgical treatment. The main criteria are achieving anatomical success rate and improving visual outcomes were compared postoperatively. Results. An algorithm for choosing surgical treatment for inferior recurrences of RD under silicone tamponade has been formulated depending on the stage of PPVR: at the initial stage of PPVR – performing only scleral buckling (SB); at an advanced stage of PPVR – performing vitreoretinal surgery in combination with SB; at an advanced stage of PPVR – performing vitreoretinal surgery in combination with retinotomy and short-term postoperative tamponade of the perfluorocarbon liquids. Conclusion. The created algorithm for choosing surgical intervention for inferior recurrences of RRD complicated by PPVR, under silicon oil tamponade depending on the stage of PPVR, allows to improve the anatomical and functional results of treatment.
Keywords: recurrence of rhegmatogenous retinal detachment, retinotomy, vitreoretinal surgery, silicone tamponade, advanced stage of proliferative vitreoretinopathy, perfluorocarbon liquid, scleral buckling.
References
1. Kocheva E.A. Rol` krugovogo e`piskleral`nogo plombirovaniya v xirurgicheskom lechenii pacientov s recidivami regmatogennoj otslojki setchatki posle vitreoretinal`noj xirurgii na glazax s silikonovoj tamponadoj: avtoref. dis. … kand. med. nauk. – Moskva, 2023:26. (In Russ.)
2. Kulikov A.N., Shevalova T.N., Churashov S.V. Rezul`taty` xirurgicheskogo lecheniya «nizhnix» recidivov otsloek setchatki pri dalekozashedshej stadii perednej proliferativnoj vitreoretinopatii s primeneniem intraoperacionnoj i kratkovremennoj posleoperacionnoj tamponady` perftororganicheskoj zhidkost`yu // Oftal`moxirurgiya. 2024;142(4):63-69. (In Russ.)] doi: 10.25276/0235-4160-2024-4-63-69.
3. Churashov S.V., Kulikov A.N., Shevalova T.N. Funkcional`ny`e i anatomicheskie isxody` lecheniya nizhnix recidivov otsloek setchatki v zavisimosti ot ob``ema xirurgicheskogo vmeshatel`stva // Vestnik Nacional`nogo mediko-xirurgicheskogo centra im. N.I. Pirogova. 2021;16(1):99-102. (In Russ.) doi: 10.25881/ BPNMSC.2021.10.43.017.
4. Shevalova T.N., Kulikov A.N., Churashov S.V. Vy`bor xirurgicheskogo lecheniya «nizhnix» recidivov otslojki setchatki pri silikonovoj tamponade // Oftal`mologiya. 2025;22(2):325-332. (In Russ.) doi: 10.18008/1816-5095-2025-2-325-332.
5. Shevalova T.N., Churashov S.V. Sravnenie rezul`tatov krugovogo e`kstraskleral`nogo plombirovaniya i retinotomii v vitreoretinal`noj xirurgii nizhnix recidivov otsloek setchatki pri vy`razhennoj stadii perednej proliferativnoj vitreoretinopatii // Rossijskij obshhenacional`ny`j oftal`mologicheskij forum. 2024;1:312-316. (In Russ.)
6. Shevalova T.N., Churashov S.V., Kulikov A.N., Mixin A.A., Troyanovskij R.L. Rezul`taty` lecheniya «nizhnix» recidivov otsloek setchatki v zavisimosti ot ob``ema xirurgicheskogo vmeshatel`stva // Oftal`mologiya. 2022;19(1):110-117. (In Russ.) doi: 10.18008/1816-5095-2022-1-110-117.
7. Shevalova T.N., Churashov S.V., Kulikov A.N. Sravnenie krugovogo e`kstraskleral`nogo plombirovaniya i retinotomii v vitreoretinal`noj xirurgii «nizhnix» recidivov otsloek setchatki pri vy`razhennoj stadii perednej proliferativnoj vitreoretinopatii / T. N. Shevalova, // Sovremenny`e texnologii v oftal`mologii. 2024; 1(53):166-173. (In Russ.) doi: 10.25276/2312-4911-2024-1-166-173.
8. Shevalova T.N., Churashov S.V., Kulikov A.N. Petinotomiya ili krugovoe e`kstraskleral`noe plombirovanie v vitreoretinal`noj xirurgii nizhnix» recidivov otsloek setchatki v usloviyax silikonovoj tamponady` // Rossijskij obshhenacional`ny`j oftal`mologicheskij forum. 2023;1:336-339. (In Russ.)
9. Shevalova T.N., Churashov S.V., Kulikov A.N. Retinotomiya i krugovoe e`kstraskleral`noe plombirovanie v vitreoretinal`noj xirurgii «nizhnix» recidivov otsloek setchatki v usloviyax silikonovoj tamponady` // Vestnik Nacional`nogo mediko-xirurgicheskogo Centra im. N.I. Pirogova. 2022;17(4) prilozhenie:28-30. (In Russ.) doi: 10.25881/20728255_2022_17_4_S1_28.
10. Shishkin M.M. Perednyaya proliferativnaya vitreoretinopatiya: avtoref. dis. … d-ra. med. nauk / M.M. Shishkin. – Sankt-Peterburg, 2000:51. (In Russ.)
11. Shevalova T.N., Churashov S.V., Kulikov A.N., Maltsev D.S. Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment. Int J Ophthalmol. 2021;14(12):1909-1914. doi: 10.18240/ijo.2021.12.15.
