EVALUATION OF THE FUNCTIONAL STATE AND MORPHOLOGY OF THE RETINA IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AFTER SUBTOTAL VITRECTOMY

Abstract

The article examines the functional state and morphology of the retina in patients with rhegmatogenous retinal detachment after subtotal vitrectomy. The aim of the research is to evaluate and compare perimetry data of the central retinal zone on postoperative functional results after closed subtotal vitrectomy for retinal detachment. The article presents a retrospective study of 36 patients who underwent closed subtotal vitrectomy for retinal detachment. The average age of the examined patients was 58±2.3 years. Patients were divided into 2 groups depending on changes in the macular zone of the retina. Operative interventions were performed by one surgeon, on one phacomachine (Constellation vision system). When evaluating the morphology of the retina in patients of both groups, it was found that thickening of the macular area occurs in almost all patients after surgical treatment within 1 month after surgery (р ≤ 0.05). A statistically significant thinning of the retina was also noted at the three-month follow-up (p ≤ 0.05). The study found that the dynamics of functional changes in the retina is more significant in patients with macular detachment of the retina. In this group of patients, lower functional results according to Visus indicators, significant thickening of the macular area of the retina in the early postoperative period, significant changes in retinal photosensitivity and more pronounced retinal atrophy were observed, especially of the optic zone after 3 months of observation. It was found that even a successfully performed surgery for rhegmatogenous retinal detachment can have low functional results, involving not only visual acuity.

Keywords

• macula
• retinal detachment
• vitrectomy
• optical coherence tomography-angiography