Результаты применения нового метода хирургического лечения тромбоза центральной вены сетчатки в клинической практике

Abstract

Purpose. To improve the effectiveness in treatment of the central retinal vein occlusion (CRVO) using a new method of surgical intervention, including a «massage» of the affected veins with epiretinal Gemaza introduction and retinal photocoagulation in the postoperative period. Materials and methods . The treatment of the main group of patients, 26 individuals (26 eyes) with the CRVO consisted of a «massage» the affected vessel, epiretinal Gemaza introduction and photocoagulation of the retina. The comparative group included 25 individuals (25 eyes) with CRVO where the epiretinal Gemaza introduction and photocoagulation were carried. The follow-up period was 12 months. Result. Resorption of retinal edema was observed at 14.0±1.2 days after operation in the study group and 17.1±1.1 day in the comparative group. According to the results of optical coherent tomography, on the 30th day after treatment the retinal thickness in the macular area decreased by 2.1 times from the initial level in the main group, and by 1.8 times in the comparative group. Within the treatment the improvement of visual functions was noted: on the 14th day after the operation the visual acuity increased 16.7 times from the initial values in the study group , and by 6.7 times i n the comparative group. Conclusions. The application of the new method of surgical treatment of the CRVO provides a stable outcome and reduces the time period of patients’ r ehabilitation.