Расширение интраоперационных диагностических возможностей в хирургии регматогенной отслойки сетчатки методом двойного контрастирования

Abstract

On average, the risk of recurrence increased in the postoperative period varies from 3 to 30 %. Among the relapses of ROS after successful surgical treatment, the progression of PVR is an established cause in 60 % of cases, being one of the most serious complications encountered in the postoperative period. It is also often the cause of a recurrence of retinal detachment after resorption of the tamponing agent, or after its removal (with endotamponade with silicone oil) is the banal failure to detect a retinal rupture during surgery. Objective. To compare intraoperative diagnostic techniques in surgery of regmatogenic retinal detachment. Material and methods. The study included 68 patients of different sexes with up to 1 month of age and different detachment configurations. After the standard stages of central vitrectomy, the patients were divided into 2 equal groups: the 1st (main) group consisted of patients who underwent the double-cauterization method, the 2nd (control) group consisted of patients operated in the standard way. Results and discussions. We have recorded a significantly frequent occurrence of relapses in patients in the control group. It was also found that an increase in the number of retinal tears increases the likelihood of ROS involving the macular zone, it was possible to statistically reliably confirm that the absence of ZOST and tight adhesion of the posterior hyaloid membrane to the retina, as well as the lower localization of retinal tears, increases the likelihood of recurrence of ROS due to the development of PVR. Keywords: retinal surface staining, double contrast, proliferative vitreoretinopathy, silicone oil, avitria, retinal detachment