Choosing the optimal method for surgical treatment of rhegmatogenous retinal detachment
https://doi.org/10.29413/ABS.2024-9.3.16
Abstract
The problem of the structural and functional effectiveness of episcleral and endovitreal treatment methods of rhegmatogenous retinal detachment remains open to this day.
The aim of the study. To assess the clinical effectiveness of surgical treatment of rhegmatogenous retinal detachment using episcleral and endovitreal methods.
Material and methods. An analysis of the electronic database and a detailed assessment of the treatment of 285 patients with rhegmatogenous retinal detachment for 2005–2022 were carried out. A comparative analysis was made in two groups: group 1 – patients after episcleral surgery (n = 155); group 2 – patients after endovitreal surgery (n = 130). The initial condition and the extent of surgery were comparable. Results. From 2005 to 2009 in 65.9 % of cases, episcleral buckling predominated; from 2009 to 2021 – posterior closed vitrectomy (in 64.8–88.7 % of cases). The incidence of primary retinal reattachment was 74.2 % and 71.5 %. The number of relapses after vitreoretinal surgery slightly exceeded the values in the group 1 – 28.4 % versus 25.7 %, and in 20% of cases the first relapse occurred before silicone aspiration as a result of subsilicone proliferation. The total number of surgical interventions per person, taking into account mandatory silicone aspiration, in the group 1 was 1.3, in the group 2 – 2.25 for the entire observation period. The visual acuity of patients in group 1 was 2 times higher than that of the comparison group – 0.21 ± 0.02 and 0.1 ± 0.03, respectively (p < 0.05).
Conclusion. Episcleral treatment methods of rhegmatogenous retinal detachment are characterized by better anatomical, reconstructive and functional effects with fewer re-operations
About the Authors
V. A. Zaika
Irkutsk Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Vladimir A. Zaika – Cand. Sc. (Med.), Head of Vitreoretinal Department, Ophthalmologist
Lermontova str. 337, Irkutsk 664033
T. N. Iureva
Irkutsk Branch of the S. Fyodorov Eye Microsurgery Federal State Institution; Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education; Irkutsk State Medical University
Russian Federation
Russian Federation
Tatiana N. Iureva – Dr. Sc. (Med.), Professor, Deputy Director for Science; Professor at the Department of Ophthalmology; Professor at the Department of Eye Diseases
Lermontova str. 337, Irkutsk 664033
Yubileyniy 100, Irkutsk 664049
Krasnogo Vosstaniya str. 1, Irkutsk 664003
D. B. Danzandorzhieva
Irkutsk Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Dolgor B. Danzandorzhieva – Ophthalmologist
Lermontova str. 337, Irkutsk 664033
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Review
For citations:
Zaika V.A., Iureva T.N., Danzandorzhieva D.B. Choosing the optimal method for surgical treatment of rhegmatogenous retinal detachment. Acta Biomedica Scientifica. 2024;9(3):164-170. (In Russ.) https://doi.org/10.29413/ABS.2024-9.3.16
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