METHOD OF MICROINVASIVE SURGICAL TREATMENT OF RECURRENCE OF RETINAL DETACHMENT IN LOWER SEGMENT WITH APPLICATION OF RETINOTOMY AND RE-TAMPONADE OF VITREOUS CAVITY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to ophthalmological surgery, and can be applied at the microinvasive surgical treatment of recurrence of retinal detachment in the lower segment in the process vitreous cavity tamponade with silicon oil (SO) 1300 est. For this purpose a sutureless transconjunctival access into the vitreous cavity is carried out. The vitreous cavity is visualised with the evaluation of a character of retinal detachment. Then, a solution of triamcenolon acetonide is introduced for contrasting the epiretinal membranes and the vitreous body remains. The vitreous cavity is filled with air. Diathermocoagulation partial lower retinotomy are performed. The subretinal liquid is aspirated. Endolasercoagulation of the retina is carried out. The vitreous cavity is tamponed. In case of the presence of local fibrosis and spread of proliferative vitreoretinopathy (PVR) on 1-2 quadrants a 20% gas-air mixture SF6 or C4F8 is applied. In case of the presence of expressed epiretinal and subretinal fibrosis, cystic changes of the retina and spread of PVR on 3-4 quadrants for re-tamponade FSO is applied.;EFFECT: method provides the full mobilisation, adaptation and fixation of the retina, reduction of the level of hemorrhagic complications and the quantity of re-recurrences of retinal detachment, achievement of maximally high visual functions in the postoperative period due to differential approach to selection of tamponing means depending on the degree of development of the accompanying proliferative process.;2 ex, 2 tbl