Ultrastructural features of vitreoretinal interface in patients with rheumatogenous retinal detachment, complicated by proliferative vitreoretinopathy
V.D. ZAKHAROV1, N.M. KISLITSYNA1, S.V. KOLESNIK1, S.V. NOVIKOV2, A.I. KOLESNIK1, M.P. VESELKOVA1
1The S. Fyodorov Eye Microsurgery Federal State Institution, 59a Beskudnikovsky blvr, Moscow, Russian Federation, 127486
2Scientific-experimental production «Eye microsurgery» Ltd, 59a Beskudnikovsky blvr, Moscow, Russian Federation, 127486
Zakharov V.D. — D. Med. Sc., Professor, Head of the Department of Vitreoretinal Surgery and Eye Diabetes, tel. (499) 488-85-53, e-mail: info@mntk.ru
Kislitsyna N.M. — Cand. Med. Sc., opthalmosurgeon of the Department of Vitreoretinal Surgery and Eye Diabetes, e-mail: natalikislitsin@yandex.ru
Kolesnik S.V. — Cand. Med. Sc., researcher of the Department of Vitreoretinal Surgery and Eye Diabetes, tel. (495) 488-87-17, e-mail: svkolesnik83@gmail.com
Novikov S.V. — Deputy Director General, e-mail: snovikov@yandex.ru
Kolesnik A.I. — Cand. Med. Sc., researcher of the Department of Vitreoretinal Surgery and Eye Diabetes, tel. (495) 488-89-20, e-mail: doc_ant@mail.ru
Veselkova M.P. — postgraduate student of the Department of Vitreoretinal Surgery and Eye Diabetes, e-mail: vеselkova.mp@ gmail.сom
The article presents morphological analysis of the changes in vitreoretinal interface (VRI) structures in patients with rhegmatogenous retinal detachment. Anatomic changes in vitreous body (VB) cause the impairment of adhesion of the VRI structures, collapse of the VB and posterior detachment of the VB. One of the revelations of the abnormal posterior detachment of the VB is vitreoschisis, when the cortical layers of the VB are split. In our research we found that in 10 cases of patients with retinal detachment, the posterior macular surface had a fixed dense thin structure of collagen character (c VB layer). This may be an evidence of the dissection of cortical layers when forming the posterior detachment of the VB. A part of cortical layers on the posterior macular surface may serve as a substrate for further cell proliferation and forming the epiretinal membranes.
Key words: rhegmatogenous retinal detachment, «Vitreocontrast», cortical layers, vitreoshisis.
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