METHOD OF SURGICAL TREATMENT OF POSTERIOR AGGRESSIVE RETINOPATHY IN PREMATURELY BORN BABIES

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to ophthalmology and can be used for early surgical treatment of posterior aggressive retinopathy in prematurely born babies in case of its progressing after laser coagulation of retina. Surgical treatment is carried out after laser coagulation of retina if the following clinical presentation takes place: sharp growth of extraretinal proliferation mainly from nasal side in form of vast prominent horseshoe-shaped bank, open opposite macular zone, with formation of traction of retinal detachment; expressed exudation in vitreous body; retina in macular zone and on extreme periphery along all circumference is adjoined, - together with data of morphometry: Sa/g (ration of avascular retina to general area of retina) 0.74±0.05, artery diametre=110.75±2.50 mcm, venae=156.50±3.25 mcm, Ct (coefficient of artery tortuosity)=1.45±0.03, retina thickness in macular zine - up to 215±4 mcm ; vitrectomy is performed, during which in consecutive order vitreoretinal tractions, going to crystalline lens, ciliary body, posterior pole, are ablated, fibrous bridges between ends of open bank of extraretinal proliferation are separated, circular tractions are eliminated, after which epiretinal membranes in central part are removed.;EFFECT: method allows to ensure stable regress of posterior aggressive retinopathy in prematurely born babies, complete absence of clinical signs if disease activity.