D.G. ARSYUTOV

Republican Clinical Ophthalmology Hospital of the Ministry of Health of the Chuvash Republic, 85 Ashmarin St., Cheboksary, Chuvash Republic, Russian Federation, 428014

Chuvash State University named after I.N. Ulyanov, 45 Moskovskiy Ave., Cheboksary, Chuvash Republic, Russian Federation, 428034

Arsyutov D.G. ― Cand.Med.Sc., Head Physician of Republican Clinical Ophthalmology Hospital, Assistant Professor of the Department of Ophthalmology and Otolaryngology in Chuvash State University named after I.N. Ulyanov, tel. (8352) 51-22-02, e-mail: Dmitrij1977@rambler.ru

Considering the unfavorable prognosis for eyes in case of rhegmatogenous retinal detachment, the search for microinvasive, attenuated and effective methods of treatment (one of which is vitreoretinal surgery with the use of platelet-rich plasma) is topical today.

The technique, used in Budgetary Institution «Republican Clinical Ophthalmology Hospital» of the Ministry of Health of the Chuvash Republic for treatment of patients with various localization of breaks in case of rhegmatogenous retinal detachment, involved subtotal 25, 27-gauge vitrectomy with posterior hyaloid membrane removal, pneumoretinopexy, retinal break blockage with platelet rich plasma. Endolaser coagulation of retina around the retinal ruptures was not carried out in any case. A positive effect was obtained with the most gentle surgical intervention — full retina attachment in the postoperative period and improvement of visual functions of the operated eye.

Key words: platelet-rich plasma, PRP-mass, rhegmatogenous retinal detachment, retinal break blockage, elimination of endolaser coagulation.

REFERENCES

1. Shkvorchenko D.O., Zakharov V.D., Kakunina S.A. et al. Modern approaches to surgical treatment of rheumatogenic retinal detachment. Kataraktal’naya i refraktsionnaya khirurgiya, 2015, vol. 15, no. 2, pp. 4-10 (in Russ.).
2. Kobashi H., Takano M., Yanagita T., et al. Scleral buckling and pars plana vitrectomy for rhegmatogenous retinal detachment: an analysis of 542 eyes. Curr. Eye Res, 2014, 39 (2), pp. 204-211, doi: 10.3109/02713683.2013.838270.
3. Lyskin P.V., Zakharov V.D., Zgoba M.I. Influence of endolaser coagulation on the postoperative period in patients with retinal detachment. Sovremennyye tekhnologii v oftal’mologii, 2017, no. 1 (14), pp. 173-176 (in Russ.).
4. Pashtayev N.P., Arsyutov D.G. Use of medical adhesives in surgery of progressive myopia and retinal detachment. Oftal’mokhirurgiya, 2009, no. 3, pp. 16-20 (in Russ.).
5. Achkasov E.E., Bezuglov E.N., Ul’yanov A.A. et al. Application of autoplasma enriched with platelets in clinical practice. Biomeditsina, 2013, no. 4, pp. 46-59 (in Russ.).
6. Arsyutov D.G. Surgical treatment of nonexudative forms of central chorioretinal dystrophy of the retina using autoplasma of blood with increased content of platelets (PRP-mass). Sovremennyye tekhnologii v oftal’mologii, 2017, no. 1 (14), pp. 24-27 (in Russ.).
7. Shkvorchenko D.O., Zakharov V.D., Shpak A.A. et al. Our experience in the use of plasma-rich blood plasma in the surgery of macular gaps. Sovremennyye tekhnologii v oftal’mologii, 2016, no. 1 (9), pp. 245-246 (in Russ.).