Abstract
Purpose. To evaluate the possibility of using the technology of combined laser treatment of macular retinal folds in the late postoperative period of rhegmatogenous retinal detachment (RRD). Methods: Patient Z., 62 years old complained of metamorphopsia and decreased visual acuity of the right eye. Diagnosis: Operated RRD in the right eye complicated with macular retinal folding; epiretinal membrane; avitria; pseudophakia. Upon admission and at all stages of dynamic observation the patient underwent a comprehensive ophthalmological examination: standard diagnostic tests included visometry for uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) and indirect ophthalmoscopy with MaxField indirect lens (Ocular Inc.; USA). In addition, optical coherence tomography was performed using Spectralis HRA + OCT platform (Heidelberg Engineering; Germany). Laser photocoagulation was delivered using a VISULAS Trion laser work station (Carl Zeiss; Germany) operating at 577 nm wavelength. Results. On examination 6 months after combined laser treatment the patient noted the absence of metamorphopsia in the right eye. As a result, an increase in UCVA from 0.05 to 0.2 was determined; BCVA remains stable – 0.7, “smoothing” of the retinal folds according to ophthalmoscopy, a decrease in the height of the retinal folds, restoration of the macular profile and architectonics of the retinal layers according to OCT. Conclusions. The proposed combined laser treatment of macular folds developing in the late postoperative period after RRD repair significantly improved the morphofunctional characteristics of the eye. The application of transpupillary laser surgery to ophthalmological practice broadens the arsenal of methods for noninvasive correction of RRD associated with macular retinal folds Key words: macular retinal folds; combined laser technology; rhegmatogenous retinal detachment; micropulse laser.
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