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  • Technique of intrascleral buckles with viscoelastics in treatment of rhegmatogenous retinal detachments. Initial results

    Редактор | 2016, Practical medicine 06 (16) Ophthalmology | 14 ноября, 2016

    N.G. MURAVLYOVA, I.M. GORSHKOV, P.L. VOLODIN, S.V. KOLESNIK

    The S. Fyodorov Eye Microsurgery Federal State Institution, 59 a Beskudnikovsy Blvr., Moscow, Russian Federation, 127474

    Muravlyova N.G. ― postgraduate student, tel. +7-903-551-23-98, e-mail: Natalia.nadopta@gmail.com

    Gorshkov I.M. ― Cand. Med. Sc., Head of the Department of Vitreoretinal Surgery, tel. (499) 488-84-38, e-mail: drgorshkov@gmail.com

    Volodin P.L. ― D. Med. Sc., Head of the Department of Eye Microsurgery and Functional Rehabilitation in Children, tel. (499) 488-84-55, e-mail: volodinpl@mntk.ru

    Kolesnik S.V. ― Cand. Med. Sc., ophthalmologist of the Department of Vitreoretinal Surgery, tel. (499) 488-87-17, e-mail: svkolesnik83@gmail.com

     The article presents the first results of treatment of local rhegmatogenous retinal detachment with the use of intascleral buckles technique with viscoelastic. Indications and counter indicationsfor the operation are defined, the technique of intascleral buckles is described in detail. The results of the performed operations prove that the technique is low-invasive, does not require additional manipulations for removing the buckle substance, and has short rehabilitation period. The maximall corrected vision acuity remains at the pre-operative level. Application of this technique allows to eliminate such complications as operation wound infection, oculomotor disbalance with a sense of double vision, ptosis, strabismus, which are characteristic for the techniques of ballooning and episcleral buckles.

    Key words: rhegmatogenous retinal detachment, intrascleral buckles, episcleral buckles, viscoelastics.

    REFERENCES

    1. Shchuko A.G., Yakimov A.P. Pervichnaya otsloyka setchatki: etiopatogenez, klinika, lechenie: uchebnoe posobie [Primary retinal detachment: etiopathogenesis, clinical features, treatment: study guide]. Irkutsk, 2008. P. 64.
    2. Stepanov Yu.V. Sovremennye problemy otsloyki setchatki [Modern problems of retinal detachment]. Vostok-Zapad: materialy mezhdunarodnoy nauchno-prakticheskoy konferentsii po oftal’mokhirurgii. Ufa, 2010. Pp. 401-403.
    3. Khare G., Weir R. Retrospective review of anatomic and visual outcomes of retinal detachment. Invest. Ophthalmol. Vis. Sci, 2011, vol. 52, no. 5, pp. 525.
    4. Bartz-Schmidt U. New developments in retinal detachment surgery. Ophthalmologe, 2008, vol. 105, pp. 27-36.
    5. Gabrelian A., Cohen J. Scleral buckling surgery for rhegmatogenous retinal detachment. Invest. Ophthalmol. Vis. Sci, 2011, vol. 52, no. 5, p. 526.
    6. Kanyukov V.N., Koptev V.I., Kanyukova Yu.V. Intraskleral’noe plombirovanie v khirurgii otsloyki setchatki [Intrascleral filling in surgery for retinal detachment]. Sovremennye tekhnologii lecheniya vitreoretinal’noy patologii 2008: materialy nauchno-prakticheskoy konferentsii. Moscow, 2008. Pp. 79-80.
    7. By Yusuke Oshima, Ehab N. El Rayes, Nagakazu Matsumura 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.
    8. Gorshkov I.M., Kolesnik S.V., Osokin I.G. Technique intrascleral filling in the treatment of local rhegmatogenous retinal detachment. Preliminary Report). Sovremennye tekhnologii v oftal’mologii, 2014, iss. 1, pp. 34-35 (in Russ.).

    Метки: episcleral buckles, I.M. GORSHKOV, intrascleral buckles, N.G. MURAVLYOVA, P.L. VOLODIN, Practical medicine 06 (16) Ophthalmology, rhegmatogenous retinal detachment, S.V. KOLESNIK, viscoelastics

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