Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture

Background. In 810% of cases after the surgical treatment, macular ruptures do not close. Aim: to assess the morphological and functional parameters of the macular area following the surgical closing of previously operated macular ruptures using a free flap of the internal limiting membrane and sili...

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Main Authors: Mikhail M. Shishkin, Evgenia A. Larina, Rinat R. Fayzrakhmanov, Oleg A. Pavlovsky, Anna V. Sukhanova, Grigory O. Karpov
Format: Article
Language:English
Published: Eco-vector 2020-10-01
Series:Клиническая практика
Subjects:
Online Access:https://journals.eco-vector.com/clinpractice/article/viewFile/25831/pdf
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author Mikhail M. Shishkin
Evgenia A. Larina
Rinat R. Fayzrakhmanov
Oleg A. Pavlovsky
Anna V. Sukhanova
Grigory O. Karpov
author_facet Mikhail M. Shishkin
Evgenia A. Larina
Rinat R. Fayzrakhmanov
Oleg A. Pavlovsky
Anna V. Sukhanova
Grigory O. Karpov
author_sort Mikhail M. Shishkin
collection DOAJ
description Background. In 810% of cases after the surgical treatment, macular ruptures do not close. Aim: to assess the morphological and functional parameters of the macular area following the surgical closing of previously operated macular ruptures using a free flap of the internal limiting membrane and silicone oil tamponade. Methods. This study involved 31 patients, all the patients underwent a surgical treatment applying a free ILM flap and silicone tamponade, the standard diagnostic procedures and optical coherence tomography and microperimetry were also used (before the operation, on the 14th and on the 30th day after the operation). Results. The change in the morphological parameters of the retina directly correlates with the change of the functional parameters of the macular zone, and a peak of the increase in the retina photosensitivity occurs in the early postoperative period with a slight further increase in the long-term postoperative period. Conclusions. The surgical treatment of unclosed macular holes, namely the creation of a free flap of the internal limiting membrane, or a plug, as well as the use of silicone tamponade, ensures a reliable positiveanatomical and functional postoperative result.
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spelling doaj.art-498dc851d2f140e1ab64489c867bc8492023-09-03T01:18:20ZengEco-vectorКлиническая практика2220-30952618-86272020-10-01113232810.17816/clinpract2583140471Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular ruptureMikhail M. Shishkin0https://orcid.org/0000-0002-5917-6153Evgenia A. Larina1https://orcid.org/0000-0001-5343-3350Rinat R. Fayzrakhmanov2https://orcid.org/0000-0002-4341-3572Oleg A. Pavlovsky3https://orcid.org/0000-0003-3470-6282Anna V. Sukhanova4https://orcid.org/0000-0002-8482-5637Grigory O. Karpov5https://orcid.org/0000-0003-3231-8593National Medical and Surgical Center named after N.I. PirogovNational Medical and Surgical Center named after N.I. PirogovNational Medical and Surgical Center named after N.I. PirogovNational Medical and Surgical Center named after N.I. PirogovNational Medical and Surgical Center named after N.I. PirogovNational Medical and Surgical Center named after N.I. PirogovBackground. In 810% of cases after the surgical treatment, macular ruptures do not close. Aim: to assess the morphological and functional parameters of the macular area following the surgical closing of previously operated macular ruptures using a free flap of the internal limiting membrane and silicone oil tamponade. Methods. This study involved 31 patients, all the patients underwent a surgical treatment applying a free ILM flap and silicone tamponade, the standard diagnostic procedures and optical coherence tomography and microperimetry were also used (before the operation, on the 14th and on the 30th day after the operation). Results. The change in the morphological parameters of the retina directly correlates with the change of the functional parameters of the macular zone, and a peak of the increase in the retina photosensitivity occurs in the early postoperative period with a slight further increase in the long-term postoperative period. Conclusions. The surgical treatment of unclosed macular holes, namely the creation of a free flap of the internal limiting membrane, or a plug, as well as the use of silicone tamponade, ensures a reliable positiveanatomical and functional postoperative result.https://journals.eco-vector.com/clinpractice/article/viewFile/25831/pdfmacular ruptureintroverted flaprigidfree flapoptical coherence tomographymicroperimetry
spellingShingle Mikhail M. Shishkin
Evgenia A. Larina
Rinat R. Fayzrakhmanov
Oleg A. Pavlovsky
Anna V. Sukhanova
Grigory O. Karpov
Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
Клиническая практика
macular rupture
introverted flap
rigid
free flap
optical coherence tomography
microperimetry
title Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
title_full Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
title_fullStr Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
title_full_unstemmed Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
title_short Comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
title_sort comparative analysis of the oct and microperimetry data to assess the state of the central regions of the retina following the relapse of a macular rupture
topic macular rupture
introverted flap
rigid
free flap
optical coherence tomography
microperimetry
url https://journals.eco-vector.com/clinpractice/article/viewFile/25831/pdf
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