Эффективность ИАГ-лазерного витреолизиса помутнений стекловидного тела у пациентов с артифакией на лазерной установке «Ultra Q Reflex» (Ellex, Австралия)

Abstract

The vitreous body is a special, complexly arranged tissue, the structure and functions of which remain not fully studied. Purpose: to study the efficiency of YAG-laser vitreolysis of vitreous opacities in patients with pseudophakia using the “Ultra Q Reflex” laser device. Material and methods. There were 19 people (21 eyes) under observation. Diagnosis: pseudophakia, high myopia, destruction of the vitreous body of both eyes. A standard pre- and postoperative examination was performed. YAG-laser vitreolysis was performed using “Ultra Q Reflex” laser system. All patients were divided into two groups. The first group (control) consisted of 7 people, who received drug treatment for 6 months. The main group included 12 patients who underwent laser vitreolysis. Results. 88 % of patients noted the complete disappearance of floating opacities in the field of view, including one year after laser treatment. During the next 3, 6, 12 months after the operation, no complications were identified. Patients in the control group did not notice a significant improvement in their condition during drug treatment. Conclusion. YAG-laser action on floating opacities of the vitreous body made it possible to achieve their evaporation, fragmentation and displacement from the visual axis, to increase visual acuity in the absence of complications. The obtained results make it possible to consider this method of treating for vitreous opacities to be effective and safe. Keywords: vitreolysis, destruction of the vitreous body, laser unit, opacity, pseudophakia.