TACTICS FOR FRESH VALVULAR RETINAL RUPTURE
Abstract
Rhegmatogenous retinal detachment often occurs due to the formation of valve-shaped tears. Barrier laser coagulation plays an important role in blocking ruptures and preventing the spread of retinal detachment.
The purpose of the study was to analyze the effectiveness of retinal barrier laser coagulation in patients with fresh retinal valveshaped ruptures.
Material and methods. A series of cases with acute posterior vitreous detachment and valve-shaped retinal tears in 14 patients (14 eyes) of 38-67 y.o. were analyzed. The terms of seeking ophthalmological care ranged from 1 to 7 days. All patients underwent retinal barrier laser coagulation.
Results. Laser barrage was effective in all cases, and the valve-shaped ruptures were stably blocked. Progressing of rhegmatogenous retinal detachment was not noted in any case.
Conclusion. The efficacy of isolated and timely performed barrier laser coagulation for valve-shaped tears depends on the freshness of the rupture, the presence of vitreoretinal adhesions in the area of the valve-shaped tear, and the area of retinal detachment. All these points are largely determined by the timing of patients' requests for ophthalmologic care.
About the Authors
I. A. GndoyanRussian Federation
L. B. Kushtareva
Russian Federation
K. S. Trishkin
Russian Federation
P. O. Klimentov
Russian Federation
References
1. Lukovskaya N. G., Astakhov Yu. S., Sajgina E. A. The analysis of frequency and causes of recurrent retinal detachment after the external steps of surgical treatment. Ophthalmologicheskie vedomosti. –2010;3(4):24-28. (in Russ)
2. Vershinina N.A., Basova G.G., Yanchenko T.V. Epidemiological analysis of the morbidity of retinal detachment in the Kemerovo region. Modern technologies in ophthalmology. 2020;4:15-16. (in Russ.). DOI: 10.25276/2312-4911-2020-4-15-16
3. Doga A.V., Krylia L.A., Taevere M.R. Influence of vitreoretinal traction localization on horseshoe tear configuration and risk of regmatogenous retinal detachment. Ophthalmosurgery. 2021;1:13-18. (in Russ.). DOI: 10.25276/0235-4160-2021-2-13-18
4. Doga A.V. [et al.] Diagnostic value of modern non-invasive methods of peripheral vitreoretinal interface in the choice of treatment tactics of patients with valvular ruptures of the retina. Practical medicine. 2017;9(110):144-146. (in Engl)
5. Gishti O. [et al.]Symptoms related to posterior vitreous detachment and the risk of developing retinal tears: a systematic review. Acta Ophthalmol. 2019;97(4):347-352. (in Russ)
6. Seider M.I., Conell C., Melles R.B. Complications of acute posterior vitreous detachment. Ophthalmology. 2022;129(1):67-72. (in Engl)
7. Doga A.V. [et al.] Differentsirovannyi podkhod k lecheniyu lokal'noi otsloiki setchatki pri klapannykh retinal'nykh razryvakh (A differentiated approach to the treatment of local retinal detachment in valvular retinal ruptures) Sovremennye tekhnologii v oftal'mologii. 2018;1:87-92. (In Russ)
8. Hayashi K. [et al.] Posterior vitreous detachment in highly myopic patients. Invest. Ophthalmol. Vis. Sci. 2020; 61(4):33. (in Engl)
9. Yonemoto J. [et al.] The age of onset of posterior vitreous detachment. Graefes Arch. Clin. Exp. Ophthalmol. 1994;232(2):67–70. (in Engl)
10. Volodin P.L., Belyanina S. I. Acute posterior vitreous detachment. Clinical ophthalmology. 2022;22(4):247-256. (in Russ.) DOI: 10.32364/2311-7729-2022-22-4-247-253
11. Bolshunov A.V. [et al.] The influence of risk factors on therapeutic efficacy of circumscribing laser coagulation at breakages of retinal periphery. Ophthalmosurgery and therapy. 2001;1:53-58. (in Russ)
12. Doga A.V. [et al.] YAG-Laser retinotomy in the complex treatment of horseshoe tear and rhegmatogenous retinal detachment. Modern technologies in ophthalmology. 2021; 3:222-225. (in Russ.). DOI: 10.25276/2312-4911-2021-3-222-225
13. Shaimova V.A. [et al.] Spontaneous breakaway of tractional flap tear during acute posterior vitreous detachment after laser retinopexy. Ophthalmology. 2022;19(3):687-691. (in Russ.). DOI: 10.18008/1816-5095-2022-3-687-691
14. Bond-Taylor M., Jakobsson G., Zetterberg M. Posterior vitreous detachment – prevalence of and risk factors for retinal tears. Clin. Ophthalmol. 2017;11:1689–1695. (in Engl)
15. Petrayevsky A.V., Gndoyan I.A. Perifericheskie vitreohorioretinal’nye distrofii. Diagnostika s pomoshh'ju linzy Gol'dmana: atlas (Peripheral vitreochorioretinal dystrophies. Diagnostics using a Goldmann lens: atlas). 2-e izd., ispr. Volgograd, Panorama.2020:192. (in Russ)
Review
For citations:
Gndoyan I.A., Kushtareva L.B., Trishkin K.S., Klimentov P.O. TACTICS FOR FRESH VALVULAR RETINAL RUPTURE. Bashkortostan Medical Journal. 2024;19(2):85-89. (In Russ.)