Офтальмохирургия (Jan 2016)
Comparative estimation of surgical treatment results of rhegmatogenous retinal detachment
Abstract
Purpose. To evaluate the effectiveness of rhegmatogenous retinal detachment surgical treatment by using single-port 25G vitrectomy.Material and methods. The study analyzed the results of examination and surgical treatment of 188 patients (188 eyes) with recent rhegmatogenous retinal detachment (RRD). Depending on the method of surgical treatment of recent detachment the patients were divided into three groups: the first group – 68 patients (68 eyes), operated by a local radial sealing tamponade with a 20% of the air-gas mixture; the second group – 63 patients (63 eyes) who underwent the microinvasive three-port 25G vitrectomy; the third group – 57 patients (57 eyes), where the microinvasive technique-port 25G vitrectomy (OPV) with tamponade of a 20% air-gas m ixture was used in the treatment.Results. It was found that the use of OPV in the treatment of RRD can significantly reduce the incidence of complications in the early postoperative period. In the long-term period a full recovery of vision, according to perimetry data, was observed more often in patients who underwent OPV than with other methods. No significant between-group differences in terms of visual acuity were detected, visual acuity after 12-24 months ranged from 0.89 to 0.95. According to the optical coherence tomography after the one-port 25G vitrectomy the cystic swelling, thinning of the retina, cysts and epiretinal membranes were rarely observed, the use of OPV was accompanied by a reduction in the cumulative incidence of late recurrences of retinal detachment in 2.7-4.2 times compared with other surgical techniques treatment.Conclusion. Application of the 25G single-port vitrectomy in patients is necessary to recommend to use for the rhegmatogenous retinal detachment as an effective and microinvasive method of treatment.
