Surgical treatment of rhegmatogenous retinal detachment complicated by vitreoretinal proliferation

Fabrikantov O. L.
The Academician S.N. Fyodorov FSАI IRTC “Eye Microsurgery” Tambov branch, Ministry of Public Health, Rasskazovskoe shosse, 1, Tambov, naukatmb@mail.ru; FSBEI HPE “Tambov State University named after G.R. Derzhavin”, Medical Institute, Inretnatsionalnaya str., 33, Tambov.

Konyaev D. A.
The Academician S.N. Fyodorov FSАI IRTC “Eye Microsurgery” Tambov branch, Ministry of Public Health, Rasskazovskoe shosse, 1, Tambov, naukatmb@mail.ru

The problem of surgical treatment of rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) is far from being solved, since about 20% of surgeries end with the absence of retinal attachment and 40-60% require the repeated intervention. Functional outcomes often do not correspond to the successful anatomical result and leave much to be desired. Purpose. To perform the comparative analysis of the surgical methods of treating rhegmatogenous retinal detachment complicated by vitreoretinal proliferation. Material and methods. 207 eyes (207 patients) were examined and divided into 2 groups. In group I (181 eyes) the endovitreal intervention with circular retinotomy was performed, in group II (26 eyes) the combined intervention was performed (episcleral + the endovitreal inrervention). Results and conclusion. Surgical treatment of RRD complicated by PVR is possible using both methods (endovitreal intervention with retinotomy or circular episcleral sealing). The criterion for choosing the method is the pathological process localization. The improvement of functional results was noted in both groups (no statistically significant difference between groups), but remained at a low level (0.09±0.01). The anatomical results appeared to be higher in group I (the differences between groups were statictically significant (t=2.250; p=0.04)).

ophthalmology, rhegmatogenous retinal detachment, proliferative vitreoretinopathy, circular retinotomy, combined surgical treatment

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