Surgical treatment of retinal detachment complicated by a macular hole
https://doi.org/10.21516/2072-0076-2023-16-4-159-164
Abstract
Retinal detachment with a macular hole is a severe pathology leading to vision loss and disability of the patient. It is most frequently observed in myopes and causes severe damage of functional parameters of the retina. The pathogenesis of the disease is associated with tangential tractions of the inner limiting membrane and the posterior layers of the vitreous that affect the retina of the myopic eye. Modern ophthalmology uses a variety of approaches to the surgical treatment of the pathology. The final functional result primarily depends on how successful the macular hole closure and retinal reattachment are. To achieve this success, various techniques of subretinal fluid drainage can be used. The present literature review was conducted using the Pubmed search engine. We analyzed the articles published from 2000 to 2021. The analysis of research results showed the advantage of the peripheral method of drainage using a perfluoroorganic compound. This technique is relevant both in cases of the peripheral retinal tear and in subretinal fluid aspiration through the retinotomy. The peripheral method of drainage using a perfluoroorganic compound ensures a better functional outcome, which, in case of retinal detachment with a macular hole, mainly depends on the safety of the neuroreceptors of the central zone and the closure of the macular hole.
About the Authors
R. R. Fayzrakhmanov
N.I. Pirogov National Medical and Surgical Center; N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education
Russian Federation
Russian Federation
Rinat R. Fayzrakhmanov — Dr. of Med. Sci., head of center of ophthalmology; professor, head of chair of eye diseases2
70, Nizhnyaya Pervomayskaya St., Moscow, 105203, Russia
65, Nizhnyaya Pervomayskaya St.,
Moscow, 105203, Russia
M. M. Shishkin
N.I. Pirogov National Medical and Surgical Center; N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education
Russian Federation
Russian Federation
Michail M. Shishkin — Dr. of Med. Sci., professor, principal ophthalmologist of Center of Ophthalmology; professor of chair of eye diseases
70, Nizhnyaya Pervomayskaya St., Moscow, 105203, Russia
65, Nizhnyaya Pervomayskaya St.,
Moscow, 105203, Russia
E. A. Larina
N.I. Pirogov National Medical and Surgical Center; N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education
Russian Federation
Russian Federation
Evgenia A. Larina — ophthalmologist of center of ophthalmology; assistant
professor of chair of eye diseases
70, Nizhnyaya Pervomayskaya St., Moscow, 105203, Russia
65, Nizhnyaya Pervomayskaya St.,
Moscow, 105203, Russia
E. E. Vaganova
N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education
Russian Federation
Russian Federation
Elena E. Vaganova — resident of chair of eye diseases
65, Nizhnyaya Pervomayskaya St.,
Moscow, 105203, Russia
O. L. Sekhina
N.I. Pirogov National Medical and Surgical Center, Institute of Continuous Medical Education
Russian Federation
Russian Federation
Olga L. Sekhina — resident of chair of eye diseases
65, Nizhnyaya Pervomayskaya St.,
Moscow, 105203, Russia
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Review
For citations:
Fayzrakhmanov R.R., Shishkin M.M., Larina E.A., Vaganova E.E., Sekhina O.L. Surgical treatment of retinal detachment complicated by a macular hole. Russian Ophthalmological Journal. 2023;16(4):159-164. (In Russ.) https://doi.org/10.21516/2072-0076-2023-16-4-159-164
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