Abstract

Purpose. Investigation of causes of low visual acuity after endovitreal surgery of rhegmatogenous retinal detachment (RRD) and possibility of its improvement. Material and methods. The study included 58 people (58 eyes) with RRD. Standard three-port vitrectomy was performed. Laser Doppler flowmetry was used for assess intraocular hemodynamics. Optical coherence tomography angiography (OCT-A) was used to assess morphological and microcirculatory parameters of macular retina. Results. According to OCT-A, patients with low level of visual prognosis after endovitreal surgery ROS had pronounced capillary nonperfusion of macular retina. More significant positive changes in the parameters of chorioretinal blood flow were noted 6 months after surgery in patients receiving Cytoflavin, according to laser Doppler flowmetry and OCT-A. Conclusion. The main reasons for low visual acuity after surgery of RRD are morphological and hemodynamic changes leading to development of macular retinal ischemia. The inclusion of cytoflavin in postoperative treatment of patients undergoing endovitreal surgery of RRD significantly increases the functional outcome of operation. Key words: rhegmatogenous retinal detachment, chorioretinal blood flow, laser Doppler flowmetry, OCT-A, cytoflavin.

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