ГИДРОРЕТИНОПЕКСИЯ С ДОЗИРОВАННЫМ ДРЕНИРОВАНИЕМ СУБРЕТИНАЛЬНОЙ ЖИДКОСТИ В ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ ПЕРВИЧНОЙ РЕГМАТОГЕННОЙ ОТСЛОЙКИ СЕТЧАТКИ

Oftal mokhirurgiya

Т. М. Джусоев¹  Л. И. Балашевич²  Б. Ф. Нигматов²  Е. А. Платов³ 

[1] Северо-Западный государственный медицинский университет им. И.И. Мечникова, Санкт-Петербург;Санкт-Петербургский филиал МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова;Северо-Западный государственный медицинский университет им. И.И. Мечникова, Санкт-Петербург

关键词: rhegmatogenous retinal detachment;    surgical treatment of primary rhegmatogenous retinal detachment;    hydroretinopexy;    pneumoretinopexy;    регматогенная отслойка сетчатки;    хирургические методы лечения первичной регматогенной отслойки сетчатки;    гидроретинопексия;    пневморетинопексия;   

DOI  :  10.25276/0235-4160-2014-4-60-64

学科分类：眼科学

来源: M H T K Mikrokhirurgiya Glaza

【 摘 要 】

Purpose. To compare anatomical and functional results of surgery extrascleral primary rhegmatogenous retinal detachment with output recovery eyes using hydroretinopexy and pneumoretinopexy.Material and methods. There were operated on 82 patients (82 eyes) with primary rhegmatogenous retinal detachment. Patients were divided into 2 groups. The first group included 44 eyes operated metered manner drainage of subretinal fluid with simultaneous administration of saline into the vitreous (hydroretinopexy). The second group included 38 eyes operated metered manner drainage of subretinal fluid with simultaneous introduction of air into the vitreous (pneumoretinopexy).Results. Patients of the first group showed on the first postoperative day a complete attachment of the retina in 43 of 44 eyes. At the same time, the total adhesion of the retina immediately after operation was noted in only 28 of 38 cases of the second group. Intraoperative complications were detected, 11.4% in the first and 7.9% in the second group, in the form of local subretinal hemorrhages in places of subretinal fluid drainage. Visual acuity one month after the surgery, in the first group was 0.5 or higher in more than 34% of patients. In the second group of patients, the visual acuity was obtained 0.5 or more only in three (7.9 %) of 38 patients. Period of hospital stay: the first group – 3 to 12 days, the patients of the second group – 4 to 24 days. Relapses of retinal detachment in patients of the first group occurred in 4 cases (9%), in the second group of patients, relapse rate was 23.7% (10 cases).Conclusions. Operation of extrascleral sealing dosed with discharging the subretinal fluid and for hydroretinopexy allows to achieve retinal attachment and to block gap with minimal impression of sclera more efficiently. This surgery allows to obtain high visual functions and requires less prolonged hospital stay. Hydroretinopexy is a more physiologic method for intraocular membranes, reducing the probability of progression in proliferative vitreoretinopathy and the frequency of retinal detachment recurrences. .

【 授权许可】

CC BY