Evaluation of the results of microinvasive surgical treatment of local rhegmatogenous retinal detachment through intrascleral buckles
N.G. MURAVLEVA, P.L. VOLODIN, I.M. GORSHKOV
The S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskudnikovsky Blvd., Moscow, Russian Federation, 127486
Contact:
Muravleva N.G. ― postgraduate student, e-mail: Natalia.nadopta@gmail.com
Volodin P.L. ― D. Med. Sc., Head of Laser Retinal Surgery Department, tel. (499) 488-84-55, e-mail: volodinpl@mntk.ru
Gorshkov I.M. ― Cand. Med. Sc., Head of the Department of Vitreoretinal Surgery, tel. (499) 488-84-38, e-mail: drgorshkov@gmail.com
To compare the results of surgical treatment of rheumatogenic retinal detachment by intrascleral and episcleral buckles, an analysis of the clinical and functional results of 60 patients was performed. The first group of patients (30 eyes) underwent intrascleral implantasion of a gel-like substance, while the second group (30 eyes) underwent an episcleral buckles according to the traditional technique using a silicone sponge. Comparison of functional results in the postoperative period made it clear that the developed technique is effective and sufficiently safe, and can be recommended for the treatment of recent uncomplicated rheumatogenic retinal detachments.
Key words: rhegmatogenous retinal detachment, intrascleral buckles, episcleral buckles, transpupillary laser coagulation.
REFERENCES
- Antelava D.N., Pivovarov N.N., Safoyan A.A. Pervichnaya otsloyka setchatki [Primary retinal detachment]. Tbilisi, 1986. Pp. 88-89.
- Zakharov V.D. Vitreoretinalʹnaya khirurgiya [Vitreoretinal surgery]. Moscow, 2003. P. 102.
- Saksonova E.O. Profilaktika otsloyki setchatki [Prevention of retinal detachment]. Otsloyka setchatoy obolochki. Moscow, 1975. Pp. 38-55.
- Vavilova O.V. Regmatogennaya otsloyka setchatki i kompleks mer po uluchsheniyu iskhodov ee khirurgicheskogo lecheniya: dis. … kand. med. nauk [Regmatogenic retinal detachment and a set of measures to improve the outcomes of her surgical treatment. Synopsis of dis. PhD med. sciences].
- Gabrelian A., Cohen J. Scleral buckling surgery for rhegmatogenous retinal detachment. Invest. Ophthalmol. Vis. Sci, 2011, vol. 52, no. 5, p. 526.
- Bykov V.P., Kiseleva O.A., Davydova O.G. The use of various explants in surgery for detachment of the retina. Vestn. oftalʹmologii, 2000, no. 2, pp. 41-43 (in Russ.).
- Volkov V.V., Brzheskiy V.V., Ushakov N.A. Oftalʹmokhirurgiya s ispolʹzovaniem polimerov [Ophthalmic surgery using polymers]. Saint Petersburg, 2003. P. 415.
- Kiseleva O.A., Antonova M.D., Aliev T.I. Comparative characteristics of the use of various explants in the surgery of retinal detachment at the present stage (review of the literature). Vestn. oftalʹmologii, 2003, no. 6, pp. 46-48 (in Russ.).
- Volodin P.L., Gorshkov I.M., Kolesnik S.V., Muravleva N.G. Intrascleral filling with the use of gel-like drainage in the treatment of local rheumatogenic retinal detachments. Sovremennye tekhnologii v oftalʹmologii, 2017, no. 1, pp. 55-58 (in Russ.).
- Gorshkov I.M., Kolesnik S.V., Osokin I.G. Technique of intrascleral filling in the treatment of local rheumatogenic retinal detachment. Preliminary communication). Sovremennye tekhnologii v oftalʹmologii, 2014, iss. 1, pp. 34-35 (in Russ.).
- Gorshkov I.M., Volodin P.L., Kolesnik S.V., Muravleva N.G. Sposob lecheniya regmatogennoy otsloyki setchatki s pomoshchʹyu intraskleralʹnogo vvedeniya viskoehlastika Patent RF na izobretenie no. 2630033 ot 05.09.2017 [A method for treating rheumatogenic retinal detachment by intrascleral administration of viscoelastic Patent of the Russian Federation for invention No. 2630033 dated 05/09/2017].
- Muravleva N.G., Volodin P.L., Gorshkov I.M., Kolesnik S.V. The method of intrascleral filling with the use of viscoelastics in the treatment of local rheumatogenic retinal detachments. The first results. Prakticheskaya meditsina, 2016, no. 6 (98), pp. 99-102 (in Russ.).
- Gorshkov I.M., Volodin P.L., Latypov I.A., Muravlyova N.G. Mikrokhirurgicheskiy instrument dlya formirovaniya intraskleralʹnogo tunnelya pri lechenii regmatogennykh otsloek setchatki. Registratsionnaya zayavka no. 2017105709 ot 15.02.2018 [Microsurgical instrument for the formation of an intrascleral tunnel in the treatment of rheumatogenic retinal detachments. Registration Application No. 2017105709 of February 15, 2013].
- By Yusuke Oshima, Ehab N. El Rayes et al. Suprachoroidal Buckling Technique: A novel, less-invasive treatment option for rhegmatogenous retinal detachment and vitreoretinal interface pathologies. Retina Today, 2013, no. May/June, pp. 71-76.