Clinical efficacy of microinvasive vitreo-retinal technologies in outpatient treatment of patients with diabetic retinal traction detachment
S.D. STEBNEV1, V.S. STEBNEV2, I.V. MALOV2
1«Eye Surgery» Ltd., 25 Samarskaya Str., Samara, Russian Federation, 443099
2Samara State Medical University, 89 Chapaevskaya Str., Samara, Russian Federation, 443099
Stebnev S.D. ― Doc. Med. Sc., Director «Eye Surgery» clinic, tel. (846) 310-13-42, e-mail: stebnev2011@yandex.ru
Stebnev V.S. ― Doc. Med. Sc., Associate Professor of the Department of Eye Diseases, tel. (846) 956-52-44, e-mail: vision63@yandex.ru
Malov I.V. ― Doc. Med. Sc., Head of the Department of Eye Diseases, tel. (846) 956-52-44, e-mail: ivmsamara@gmail.com
The article presents a retrospective analysis of outpatient invasive surgical treatment of 56 patients (70 eyes) with total and subtotal diabetic retinal traction detachment, treated from January 2014 to January 2018. The average age of patients was 57±5.8 years; observation periods were not shorter than 6 months. Gas perftoran C3F8 (Arcad, France) and silicone oil Siluron 2000 (Fluoron GmbH, Germany) were used for tamponade of vitreous cavity at the conclusive stage of surgery. Endolaser coagulation of retina is performed on «PUREPOINT» (Alcon) device. The operational and postoperative complications were analyzed. The functional and anatomic results of treatment were studied: the average best-corrected visual acuity improved from 0.01±0.12 to 0.21±0.14 (p<0.05). The high anatomic results (95.7% of the retina conformity) and improved visual acuity with microinvasive technologies 25 caliber in patients with diabetic retinal traction detachment of the showed the safety and efficacy of this technology, despite the initial severity of diabetic lesions.
Key words: 25-gauge microinvasive vitrectomy, diabetic retinal traction detachment.
(Для цитирования: Stebnev S.D., Stebnev V.S., Malov I.V. Clinical efficacy of microinvasive vitreo-retinal technologies in outpatient treatment of patients with diabetic retinal traction detachment. Практическая медицина. 2018)
References
- Dedov I.I., Mel’nichenko G.A. EHndokrinologiya: nacional’noe rukovodstvo. – 2-e izd., – M.: GEHOTAR-Media. – 2016. – 1112 s.
- Wild S., Roglic G., Green A., Sicree R. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. //Diabetes Care. – 2004. – Vol. 27. – P. 1047-1052.
- Wolfensberger T., Hamilton A. Diabetic retinopathy—an historical review. //Semin Ophthalmol. – 2001. – Vol. 17. – P. 2-7.
- Solomon S., Chew E., Duh E., Sobrin L. Diabetic retinopathy: a position statement by the American Diabetes Association. //Diabetes Care. – 2017. – Vol. 40. – P. 412-418.
- Fujii, G., Juan E., Humayun M., Chang T. A. New 25-gauge Instrument System for Transconjunctival Sutureless Vitrectomy Surgery. //Ophthalmology. – 2002. – Vol. 109. – P. 1807-1813.
- Tahchidi H.P., Metaev S.A., Glinchuk N.YA. Kombinirovannaya tekhnika ehndovitreal’noj hirurgii glaza s ispol’zovaniem sistemy 25 kalibra // V kn.: Sovremennye tekhnologii lecheniya vitreoretinal’noj patologii – 2006. – M., 2006. – S. 159-163.
- SHishkin M.M., Bojko EH.V., Mironov A.V. SHCHadyashchij variant vitreoretinal’noj hirurgii pri proliferativnoj stadii diabeticheskoj retinopatii. //V kn.: Sovremennye tekhnologii lecheniya vitreoretinal’noj patologii. – M.,2002. – S.409-414.
- Chen E. 25-Gauge transconjunctival sutureless vitrectomy. //Curr Opin Ophthalmol. – 2007. – Vol. 18. – P. 188-193.
- Bamonte G., Mura M., Stevie Tan H. Hypotony After 25-Gauge Vitrectomy. //Am J Ophthalmol. – 2011. – Vol. 151. – P. 156-160.
- Kunimoto D., Kaiser R. Incidence of endophthalmitis after 20- and 25-gauge vitrectomy. //Ophthalmology. – 2007. – Vol. 114. – P. 2133-2137.
- Hu A., Bourges J., Shah S., Gupta A. Endophthalmitis after pars plana vitrectomy: a 20- and 25-gauge comparison. //Ophthalmology. – 2009. – Vol. 116. – P. 1360-1365.
- Kumar A., Duraipandi K., Gogia V., Sehra S. Comparative evaluation of 23- and 25-gauge microincision vitrectomy surgery in management of diabetic macular traction retinal detachment. //Eur J Ophthalmol. – 2014. – Vol. 24. – P. 107-113.
- Dikopf M., Patel K., Setlur V., Lim J. Surgical outcomes of 25-gauge pars plana vitrectomy for diabetic tractional retinal detachment //Eye – 2015. – Vol. 29(9). – P. 1213-1219.