THE METHOD OF DIAGNOSING HIDDEN RETINAL TEARS IN INTRASCLERAL SURGERY OF THE RETINAL DETACHMENT

Abstract

The primary rhegmatogenous retinal detachment is a severe disease which is characterized by the accumulation of the subretinal fluid through the retinal tear between the neurosensory layers and underlying pigment epithelium, requiring urgent surgical treatment. Total irreversible blindness will take place if no rhegmatogenous retinal detachment surgery is performed. The surgical treatment consists of closing the retinal tear by sealing the place of the retinal tear with the episcleral filling and this procedure results in the adaptation of the tear margins to the choroid or by the endovitreal tamponage accompanied by endolasercoagulation of the tear margins following vitrectomy. The purpose of this study was the development of the method to increase the efficacy of revealing the retinal tears intraoperatively by way of the intraocular method including the transconjunctival sclera puncture in the projection of the flat part of the ciliary body at a distance of 3-4 mm from limbus, at an angle of 900 with respect to the sclera performed in the direction of the eyeball centre with a preliminary shift of the conjunctiva by means of a trocar with port of 25-27 G caliber at the end which is placed on the opposite side from the sector with a detached retina. A light guide is introduced through the placed port into the eye cavity with the ability to view the detached retinal area and search for tears in it.