APPLICATIONS OF REVASCULARIZATION SURGERY IN MACULAR DEGENERATION

Abstract

Purpose: to evaluate the effectiveness of revascularization surgery in macular degeneration.Material and methods. A patient with bilateral macular degeneration underwent revascularizing surgery on the worse eye, where the formation of the epiretinal membrane and macular edema with complete disappearance of the central macular fossa against the background of more pronounced complaints were observed. The control method was the value of visual acuity and the results of optical coherence tomography.Results and discussion. After 5 years, 100% of the vision of the operated eye was preserved against the background of regression of anatomical disorders in the macula in the form of resorption of the epiretinal membrane with the restoration of the configuration of the central fossa of the macula and the disappearance of the patient's complaints. The common pathogenesis speaks in favor of the effectiveness of revascularization surgery in all types of degenerative diseases of the retina, and not only in macular degeneration, and the permissibility of combining this intervention with all known methods of treatment significantly increases the chances of preserving vision even with a very aggressive course of the pathology under consideration.Conclusions. The effectiveness of the mechanisms of the proposed operation can serve as a reason for its inclusion in the algorithm of surgical treatment of macular degeneration and other degenerative diseases of the retina.