OCT-angiography examination of macular zone followed endovitreal intervention with regard to rhegmatogenous retinal detachment

Fabrikantov O. L.
¹²

Velichko P. B.
¹

Yablokov M. M.
¹

1 - The Academician S.N. Fyodorov FSАI IRTC «Eye Microsurgery» Tambov branch, Ministry of Public Health, Rasskazovskoe shosse, 1, Tambov, naukatmb@mail.ru
2 - FSBEI HPE «Tambov State University named after G.R. Derzhavin», Medical Institute, Inretnatsionalnaya str., 33, Tambov

Purpose. To examine macular zone using OCT-angiography followed endovitreal intervention with regard to rhegmatogenous retinal detachment. Material and methods. The study included 26 patients (36 eyes) divided into two groups: main and control. The main group consisted of 16 patients (16 eyes) operated on for rhegmatogenous retinal detachment. All the main group patients underwent endovitreal intervention regarding rhegmatogenous retinal detachment using standard technique 25g. The silicone oil and gas tamponade was performed as the last stage of surgical intervention. The control group included healthy subjects (10 people – 20 eyes) of the same age without any ophthalmopathology. Macular zone was examined using spectral domain optical coherence tomography on RTVue XR Avanti (Optovue, Inc., Fremont, CA). Scanning size was 3x3 mm. Scan protocol AngioVue Angio retina 3.0 was used. All measurements were performed in the foveal area (1 mm in circumference) and parafovea – the region between foveal border and a circumference 3 mm in diameter round the center. Macular zone examination by angio-OCT method according to the above-mentioned protocol was performed in a month followed endovitreal intervention. Results. The most significant indices, which distinguish patients after surgery (main group) from healthy subjects (control group) were found to be data of vascular density of macular microcirculatory channel of the retina in all areas and sectors. Conclusion. The investigation performed showed the importance and high informativity of optical coherence tomography – angiography when assessing macular zone after endovitreal intervention as regards rhegmatogenous retinal detachment.

optical coherence tomography – angiography, rhegmatogenous retinal detachment, endovitreal intervention, relative density of macular microcirculatory channel, retinal thickness of macular zone

10.29234/2308-9113-2017-5-4-33-44

1. Avanesova, T. A. «Regmatogennaya otslojka setchatki: Sovremennoe sostoyanie problem [Regmatogenic retinal detachment: Current state of the problem].» Oftal'mologiya12, no. 1 (2015): 24-32.

2. Aznabaev, B. M., T. R. Muhamadeev, and T. I. Dibaev. Opticheskaya kogerentnaya tomografiya angiografiya glaza [Optical coherent tomography-angiography of the eye]. Moscow: Avgust Borg, 2015.

3. Aleksandrov, A. A., B. M. Aznabaev, T. R. Muhamadeev, A. Sh Zagidullina, and T. I. Dibaev. «OKT-angiografiya: kolichestvennaya i kachestvennaya ocenka mikrososudistogo rusla zadnego segmenta glaza [OCT-angiography: quantitative and qualitative assessment of the microvascular bed of the posterior segment of the eye].» Kataraktal'naya i refrakcionnaya hirurgiya15, no. 3 (2015): 4-9.

4. Bajborodov Ya.V. Prognozirovanie funkcional'nyh iskhodov vitreoretinal'nyh operacij [Prediction of functional outcomes of vitreoretinal operations]. Avtoref. diss. na soiskanie uchenoj stepeni k.m.n. [Author’s abstract, PhD Thesis] St. Petersburg, 2006.

5. Belyj Yu.A., Tereshchenko A.V., Fabrikantov O.L., Volodin P.L., Golenkov A.K. Sposob hirurgicheskogo lecheniya distroficheskih zabolevanij setchatki glaza i zritel'nogo nerva [Method of surgical treatment of dystrophic diseases of the retina of the eye and optic nerve]. Patent na izobretenie [Invention Patent] 2204367, pr. 10.10.2001

6. Kurysheva, N. I., E. V. Maslova, A. V. Trubilina, and M. B. Lagutin. «Rol' opticheskoj kogerentnoj tomografii s funkciej angiografii v rannej diagnostike i monitoringe glaukomy [The role of optical coherence tomography with the function of angiography in the early diagnosis and monitoring of glaucoma].» Nacional'nyj zhurnal glaukoma15, no. 4 (2016): 20-31.

7. Lambrusso, Bruno, Huang Dehvid, Chen Dzh Ching, Czya Yali, Marko Rispoli, Andre Romano, and Vahid K. Nadiya. [OCT angiography. Clinical atlas]. Moscow: Izdatel'stvo Panfilova, 2017.

8. Libman, E. S., and E. V. Shahova. «Slepota i invalidnost' vsledstvie patologii organa zreniya v Rossii [Blindness and disability due to pathology of the organ of vision in Russia].» Vestnik oftal'mologii, no. 1 (2006): 35-37.

9. Mashchenko, N. V., E. V. Hudyakov, Y. B. Lebedev, A. V. Zhigulin, and V. A. Rudenko. «Sravnitel'nyj analiz hirurgicheskogo lecheniya pervichnoj regmatogennoj otslojki setchatki metodami ehpiskleral'noj i vitreal'noj hirurgii [Comparative analysis of surgical treatment of primary rheumatogenic retinal detachment using episcleral and vitreal surgery].» Sovremennye tekhnologii v oftal'mologii , no. 1 (2014): 77-78.

10. Smirnov E.V. Osobennost' mestnogo vospalitel'nogo processa pri regmatogennoj otslojke setchatki i ego korrekcii [Features of local inflammatory process in rheumatogenic retinal detachment and its correction]: Avtoref. diss. na soiskanie uchenoj stepeni k.m.n. [Author’s abstract, PhD Thesis] Novosibirsk, 2011.

11. Tereshchenko A.V., Fabrikantov O.L., Belyj YU.A., Evstigneev A.R., Golenkov A.K. Sposob lecheniya distroficheskih zabolevanij setchatki glaza i zritel'nogo nerva [A method for treating dystrophic diseases of the retina of the eye and optic nerve]. Patent na izobretenie [Invention Patent] 2200523, pr. 10.10.2001.

12. Fabrikantov, O. L., and R. E. Osmanov. «Analiz mikrocirkulyatornyh pokazatelej makulyarnoj zony posle ehndovitreal'nogo lecheniya regmatogennoj otslojki setchatki [Analysis of microcirculatory parameters of the macular zone after endovitreal treatment of rheumatogenic retinal detachment].» Medicina, no. 2 (2017). http://fsmj.ru/015285.html.

13. Shishkin, M. M., and S. R. Talybova. «Mikrostrukturnye izmeneniya naruzhnogo sloya central'noj zony setchatki i ih svyaz' s ostrotoj zreniya posle vitrehktomii po povodu diabeticheskogo makulyarnogo oteka [Microstructural changes in the outer layer of the central zone of the retina and their relationship to visual acuity after vitrectomy for diabetic macular edema].» Tochka zrenie. Vostok-zapad , no. 2 (2017): 20-22.

14. Shpak A.A. Opticheskaya kogerentnaya tomografiya i angiografiya zadnego otrezka glaza v norme [Normal optical coherence tomography and angiography of the posterior segment of the eye]. Assessed at: http://tradomed-invest.ru/pdf/okta.pdf

15. Bartz-Schmidt, U. «New development in retinal detachment surgery.» Ophthalmologe, no. 105 (2008): 27-36.

16. Curcio, Christine A., and Kimberly A. Allen. «Topography of ganglion cells in human retina.» The Journal of Comparative Neurology300, no. 1 (1990): 5-25. doi:10.1002/cne.903000103.

17. Terauchi, Gaku, Kei Shinoda, Celso Soiti Matsumoto, Emiko Watanabe, Harue Matsumoto, and Atsushi Mizota. «Recovery of photoreceptor inner and outer segment layer thickness after reattachment of rhegmatogenous retinal detachment.» British Journal of Ophthalmology99, no. 10 (2015): 1323-327. doi:10.1136/bjophthalmol-2014-306252.

18. Yanyali, Ates, Kansu T. Bozkurt, Aydin Macin, Fatih Horozoglu, and Ahmet F. Nohutcu. «Quantitative Assessment of Photoreceptor Layer in Eyes with Resolved Edema after Pars Plana Vitrectomy with Internal Limiting Membrane Removal for Diabetic Macular Edema.» Ophthalmologica 226, no. 2 (2011): 57-63. doi:10.1159/000327597.